DR. KRISTINE M WAKE MD
NPI 1932216975
Pediatrics in Park City, UT

Q: What is Kristine Wake's NPI number?

The NPI number for Kristine Wake is 1932216975. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Q: What is Kristine Wake's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kristine Wake was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 August 24, 2006

750 ROUND VALLEY DR STE 102, PARK CITY, UT 84060(435) 655-0926(435) 649-3748 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2023, Aug 3, 2022, Apr 9, 2020 (3 updates tracked since 2020).

On this page

About Dr. Kristine M Wake Md NPPES

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

DR. KRISTINE M WAKE MD (NPI 1932216975) is an individual pediatrics provider in Park City, Utah, licensed in Utah (12807093-1205) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1932216975

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. KRISTINE M WAKECredential: MD

Location Address750 ROUND VALLEY DR STE 102Park City, UT 84060-7549

Mailing Address9000 W Wisconsin Ave # Ms 958Milwaukee, WI 53226-4874 · (414) 266-7615 · Fax (414) 266-6238

Phone(435) 655-0926

Fax(435) 649-3748

Sole ProprietorNo

Enumeration DateAugust 24, 2006

Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration

NPPES CertifiedAugust 3, 2022

✔ NPI 1932216975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in UT · 12807093-1205✔ Licensed in WI · 41975

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

750 ROUND VALLEY DR STE 102, Park City, UT 84060

Open in Google Maps ↗

Other Identifiers 1

Medicaid1932216975WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BridgeSpan Health Company, Molina Healthcare and more.Insurance ›

Other Providers at the Same Location NPPES

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

MS. MORGAN LEIGH LEAVENTON

Nurse Practitioner (Family)

750 ROUND VALLEY DR STE 102
PARK CITY, UT 84060

Summit County (435) 655-0926

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 Kristine Wake's NPI number?

The NPI number for Kristine Wake is 1932216975. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Kristine Wake located?

Kristine Wake practices at 750 Round Valley Dr Ste 102, Park City, UT 84060. The listed phone number is (435) 655-0926.

What is Kristine Wake's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Kristine Wake accept?

Health plans from Anthem Blue Cross and Blue Shield, BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health and 1 other insurer list Kristine Wake 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 Kristine Wake was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.