Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1861453490 Individual Practitioner Female Practitioner

Gena R Wilson , PNP

Nurse Practitioner - Pediatrics • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Gena Wilson, PNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Phoenix, AZ. Practice services are available at 1920 E CAMBRIDGE AVE STE 304 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1920 E Cambridge Ave Ste 304

Phoenix, AZ 85006

Telephone 6029334363
Fax 6029332415

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.8 Yrs
State Avg: 11.9 Yrs
Regional Practice Density
244 Specialists

Practicing in Phoenix, AZ (443 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License AZ AP6776

Definition to come...

Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

State License AZ RN060806

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
863177 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Alyssa Jeffers , RD

Dietitian, Registered - Nutrition, Metabolic

NPI 1225594294

Registered Dietitian

Dr. Kristin Lindstrom , MD

Medical Genetics - Clinical Genetics (M.D.)

NPI 1306023593

Doctor of Medicine (M.D.)

Andrew Fazenbaker , MS, CGC

Genetic Counselor, MS

NPI 1396626149

Master of Science, CGC

Peggy Kulch , MS

Genetic Counselor, MS

NPI 1548119910

Master of Science

Dr. Derek Neilson , MD

Medical Genetics - Clinical Genetics (M.D.)

NPI 1548293822

Doctor of Medicine (M.D.)

Dr. John Baker , MD

Medical Genetics - Clinical Genetics (M.D.)

NPI 1659459444

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location July 25, 2018

Registered at 1920 E CAMBRIDGE AVE STE 304, PHOENIX, AZ 85006 (Tel: 6029334363)

📍
Updated Business Mailing Address July 25, 2018

Registered at 3200 E CAMELBACK RD STE 250, PHOENIX, AZ 850182327 (Tel: 6029331813)

📍
Updated Business Mailing Address April 05, 2018

Registered at 6301 S MCCLINTOCK DR STE 101, TEMPE, AZ 852833395 (Tel: 4802142300)

NPI Profile Active December 19, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 19, 2017

Registered at 2550 E. GUADALUPE RD, 115, GILBERT, AZ 852345114 (Tel: 4806321544)

📍
Updated Business Mailing Address December 19, 2017

Registered at 1919 E THOMAS RD, BLDG 2108, SUITE 101, PHOENIX, AZ 850167710 (Tel: 6025128030)

👤
Provider Name / Credentials Updated December 19, 2017

Recorded as GENA WILSON, PNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2017

Nurse Practitioner (License #RN060806 in AZ)

NPI Profile Active January 02, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location January 02, 2013

Registered at 1919 E THOMAS RD, PHOENIX, AZ 850167710 (Tel: 6029330985)

📍
Updated Business Mailing Address January 02, 2013

Registered at 1919 E THOMAS RD, BLDG 2108, SUITE 101, PHOENIX, AZ 850167710 (Tel: 6025128030)

👤
Provider Name / Credentials Updated January 02, 2013

Recorded as GENA WILSON, PNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2013

Nurse Practitioner (License #RN060806 in AZ)

🟢
Initial NPI Registration & Enumeration March 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861453490
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 31, 2006
Last Update: July 25, 2018
Sole Proprietor: No

Mailing Address

3200 E Camelback Rd Ste 250

Phoenix, AZ 850182327

Phone: 6029331813

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.