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TEICHA WILSON MD
NPI 1306818125
Pediatrics - Neonatal-Perinatal Medicine in Gallup, NM

Active since February 06, 2006PECOS Enrolled
2111 COLLEGE DR, REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES, GALLUP, NM 87301(505) 863-1820 Get Directions Write a Review

NPPES record last updated: January 28, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Teicha Wilson Md NPPES

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

TEICHA WILSON MD (NPI 1306818125) is an individual neonatal-perinatal medicine provider in Gallup, New Mexico, licensed in Washington (MD60027915) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306818125
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameTEICHA WILSONCredential: MD
Location Address2111 COLLEGE DR, REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICESGallup, NM 87301-5600
Mailing Address1901 Redrock Dr, Pfs DeptGallup, NM 87301-5683 · (505) 863-7000
Phone(505) 863-1820
Sole ProprietorNo
Enumeration DateFebruary 6, 2006
Last NPPES UpdateJanuary 28, 2014
✔ NPI 1306818125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in WA · MD60027915
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License MD2004-0819 (NM)
2111 COLLEGE DR, Gallup, NM 87301
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Other Identifiers 9

OtherNM009W12NM · Bcbs
OtherQMYPR0068268Molina
Medicaid953126AZ
Medicare UPINI43333
Medicare ID-Type Unspecified348529002
Other202000082NM · Presbyterian Health/salud
Other10019728NM · Lovelace Health/salud
Medicare ID-Type Unspecified348529003
Medicaid42378516NM

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Teicha Wilson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

ALEXIS P LUCERO CHW
Community Health Worker
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 397-5172
TIUS JAMES
Community Health Worker
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 979-9870
JANENE VAUGHN LCSW
Social Worker (Clinical)
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 397-5172
JUDY A LURANC SWEENEY OT
Occupational Therapist (Pediatrics)
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 397-5172
RAELYNN BENALLY
Nurse Practitioner (Family)
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 397-5172
KRISTEN JOY PIKAART CHW
Community Health Worker
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 870-8445
CHRISTOPHER CODY BALDONADO RN
Case Manager/Care Coordinator
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 397-5797
AHEDABAH J JUNE CHW
Community Health Worker
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 397-5172

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Teicha Wilson's NPI number?

The NPI number for Teicha Wilson is 1306818125. It was assigned to this individual provider in the NPPES registry on February 6, 2006.

Where is Teicha Wilson located?

Teicha Wilson practices at 2111 College Dr Rehoboth Mckinley Christian Health Care Services, Gallup, NM 87301. The listed phone number is (505) 863-1820.

What is Teicha Wilson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Teicha Wilson enrolled in Medicare?

Yes. Teicha Wilson is registered in the Medicare PECOS enrollment system.

What insurance does Teicha Wilson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Teicha Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Teicha Wilson was last updated on January 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.