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KRISTINA MARIE WILSON FNP
NPI 1942209499
Nurse Practitioner in Locust, NC

Active since July 18, 2005PECOS Enrolled
95.35/100
CMS Quality Rating
123 PROFESSIONAL PARK DR, LOCUST, NC 28097(704) 403-6760 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 54 more (57 updates tracked since 2017).

About Kristina Marie Wilson Fnp NPPES

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

KRISTINA MARIE WILSON FNP (NPI 1942209499) is an individual nurse practitioner in Locust, North Carolina, licensed in North Carolina (201384) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1942209499
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKRISTINA MARIE WILSONCredential: FNP
Location Address123 PROFESSIONAL PARK DRLocust, NC 28097-7712
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 403-6760
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJuly 18, 2005
Last NPPES UpdateSeptember 25, 202557 updates tracked since enumeration
NPPES CertifiedApril 9, 2022
✔ NPI 1942209499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 201384
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.
123 PROFESSIONAL PARK DR, Locust, NC 28097
Open in Google Maps ↗

Secondary Practice Locations 4

Location 11100 Blythe BlvdCharlotte, NC 28203-5814 · Phone (704) 355-4300
Location 21000 Blythe BlvdCharlotte, NC 28203-5812 · Phone (704) 355-2000
Location 32301 US Highway 74 WWadesboro, NC 28170-7554 · Phone (704) 994-4500
Location 4201 E Grover StShelby, NC 28150-3917 · Phone (980) 487-3000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristina Marie Wilson Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789755513
PECOS Enrollment IDI20080620000531
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 Kristina Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Carolinas Physicians Network Inc
Same address
Family Medicine
123 PROFESSIONAL PARK DR
Locust, NC 28097
  • Reassigned Medicare billing, North Carolina enrollment
  • Also billed through NPI 1619371697 (North Carolina)
  • 1,646 clinicians in this Medicare group
NPI 1225268170 (704) 403-6760

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

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
286 services174 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
111 services94 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
51 services41 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
49 services32 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
27 services27 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
25 services25 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340001
Location920 Church St NConcord, NC 28025 · Cabarrus County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Stanly Regional Medical Center

Acute Care Hospitals · Albemarle, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340119
Location301 Yadkin StAlbemarle, NC 28001 · Stanly County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28097 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims12 services$19.50 avg. paid by Medicare
Manual wheelchair accessory, anti-tipping device, each E0971
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$3.17 avg. paid by Medicare
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 suppliers12 claims13 services$110.04 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers18 claims18 services$23.32 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 6

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

STEVEN EDWARD LUCAS MD
Family Medicine
123 PROFESSIONAL PARK DR
LOCUST, NC 28097
Stanly County (704) 403-6760
THEODORE M. KELLEY MD
Family Medicine
123 PROFESSIONAL PARK DR
LOCUST, NC 28097
Stanly County (704) 403-6760
JOSHUA RANDAL HALL DO
Family Medicine
123 PROFESSIONAL PARK DR
LOCUST, NC 28097
Stanly County (704) 403-6760
CAROLINAS PHYSICIANS NETWORK INC
Family Medicine
123 PROFESSIONAL PARK DR
LOCUST, NC 28097
Stanly County (704) 403-6760
MARGARET IRENE TRZEBIATOWSKI DO
Family Medicine
123 PROFESSIONAL PARK DR
LOCUST, NC 28097
Stanly County (704) 403-6760
MRS. RACHEL CAROLYN LEE LONG PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
123 PROFESSIONAL PARK DR
LOCUST, NC 28097
Stanly County (704) 403-6760

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 Kristina Wilson's NPI number?

The NPI number for Kristina Wilson is 1942209499. It was assigned to this individual provider in the NPPES registry on July 18, 2005.

Where is Kristina Wilson located?

Kristina Wilson practices at 123 Professional Park Dr, Locust, NC 28097. The listed phone number is (704) 403-6760.

What is Kristina Wilson's specialty?

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

Is Kristina Wilson enrolled in Medicare?

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

Which organization bills Medicare for Kristina Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Wilson reassigns Medicare benefits to Carolinas Physicians Network Inc (Locust, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristina Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristina Wilson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list Kristina 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.

Is Kristina Wilson affiliated with any hospitals?

According to CMS data, Kristina Wilson is affiliated with Carolinas Medical Center-Northeast, Carolinas Medical Center/Behav Health and Stanly Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Kristina Wilson was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.