MS. KRISTIN NICOLE WILSON NP-C
NPI 1851747596
Nurse Practitioner in La Grande, OR

Q: What is Kristin Wilson's NPI number?

The NPI number for Kristin Wilson is 1851747596. It was assigned to this individual provider in the NPPES registry on May 12, 2016.

Q: What is Kristin Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kristin Wilson was last updated on April 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 May 12, 2016PECOS Enrolled

2011 4TH ST, LA GRANDE, OR 97850(541) 963-4139(541) 429-6612 Get Directions Write a Review

NPPES record last updated: April 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Ms. Kristin Nicole Wilson Np-c NPPES

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

MS. KRISTIN NICOLE WILSON NP-C (NPI 1851747596) is an individual nurse practitioner in La Grande, Oregon, licensed in Oregon (202000961NP-PP) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Santa Fe.

NPPES Registry Identity

NPI1851747596

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMS. KRISTIN NICOLE WILSONCredential: NP-C

Location Address2011 4TH STLa Grande, OR 97850-2511

Mailing Address2011 4th StLa Grande, OR 97850-2511 · (541) 963-4139 · Fax (541) 429-6612

Phone(541) 963-4139

Fax(541) 429-6612

Sole ProprietorNo

Enumeration DateMay 12, 2016

Last NPPES UpdateApril 28, 2020

NPPES CertifiedApril 28, 2020

✔ NPI 1851747596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in OR · 202000961NP-PP✔ Licensed in NM · CNP-02899

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2011 4TH ST, La Grande, OR 97850

Open in Google Maps ↗

Secondary Practice Location 1

Location 12019 Galisteo St, Ste A-3Santa Fe, NM 87505-2143 · Phone (505) 988-2117 · Fax (505) 988-2119

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kristin Nicole Wilson Np-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97850 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

Most-billed visit code 99214

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

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers15 claims15 services$103.83 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

MS. BONNIE MARIE DITTMANN PA-C

Physician Assistant