KATRINA BURLEIGH WILSON DO
NPI 1033643622
Obstetrics & Gynecology in Flagstaff, AZ

Q: What is Katrina Wilson's NPI number?

The NPI number for Katrina Wilson is 1033643622. It was assigned to this individual provider in the NPPES registry on April 20, 2017.

Q: What is Katrina Wilson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Katrina Wilson was last updated on September 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 20, 2017PECOS Enrolled

2920 N 4TH ST, FLAGSTAFF, AZ 86004(928) 522-9400 Get Directions Write a Review

NPPES record last updated: September 1, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 1, 2022, Apr 20, 2017 (2 updates tracked since 2017).

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About Katrina Burleigh Wilson Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATRINA BURLEIGH WILSON DO (NPI 1033643622) is an individual obstetrics & gynecology provider in Flagstaff, Arizona, licensed in Arizona (009726) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa (2017).

NPPES Registry Identity

NPI1033643622

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameKATRINA BURLEIGH WILSONCredential: DO

Location Address2920 N 4TH STFlagstaff, AZ 86004-1816

Mailing AddressPo Box 3630Flagstaff, AZ 86003-3630

Phone(928) 522-9400

Sole ProprietorNo

Medical School CMSAt Still Un Of Hlth Sciences, Col Of Osteo Med, MesaGraduated 2017

Enumeration DateApril 20, 2017

Last NPPES UpdateSeptember 1, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 1, 2022

✔ NPI 1033643622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in AZ · 009726

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2920 N 4TH ST, Flagstaff, AZ 86004

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katrina Burleigh Wilson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547645368

PECOS Enrollment IDI20220915000474

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Katrina Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

El Rio Santa Cruz Neighborhood Health Center, Inc

208 mi

Federally Qualified Health Center (FQHC)

3655 E GRANT RD
Tucson, AZ 85716

Reassigned Medicare billing, Arizona enrollment
464 clinicians in this Medicare group

NPI 1477204485 (520) 670-3090

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86004 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DUNYA COPE LPC

Counselor (Professional)