Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1881715746 Individual Practitioner Female Practitioner

Dr. Cristin Louise Wise , MD

Pediatrics • Chantilly, VA

Professional Overview & Biography Verified Profile Summary

Dr. Cristin Wise, MD is a registered healthcare professional specializing in Pediatrics in Chantilly, VA. Practice services are available at 3914 CENTREVILLE RD STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3914 Centreville Rd Ste 101

Chantilly, VA 201513289

Telephone 7034818600
Associated Practice Facility / Clinic
🏢 The Pediatric Group, Pc Facility NPI 1023232345

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Chantilly, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
12 Specialists

Practicing in Chantilly, VA (2079 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License VA 0101251377

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License NC 2013-01121

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License GA RTP001917

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.

Practice Associates & Co-Workers

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

7 Associated Practitioners
Dr. Kristin Mcclymont , DNP CRNP

Nurse Practitioner - Family

NPI 1366843245

DNPCRNP

Autumn Prescott , CNP-PC

Nurse Practitioner - Pediatrics

NPI 1437823242

CNPPC

Jamie Fairgrieve , PA-C

Physician Assistant

NPI 1487912283

Physician Assistant (Certified)

NPI 1689632028

Doctor of Medicine (M.D.)

NPI 1831329150

Doctor of Medicine (M.D.)

NPI 1982799938

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location August 26, 2019

Registered at 3914 CENTREVILLE RD STE 101, CHANTILLY, VA 201513289 (Tel: 7034818600)

📍
Updated Business Mailing Address August 26, 2019

Registered at 3914 CENTREVILLE RD STE 101, CHANTILLY, VA 201513289 (Tel: 7034818600)

NPI Profile Active November 06, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location November 06, 2014

Registered at 1327 ROBESON ST, FAYETTEVILLE, NC 283055531 (Tel: 9104865437)

📍
Updated Business Mailing Address November 06, 2014

Registered at 1327 ROBESON ST, FAYETTEVILLE, NC 283055531 (Tel: 9104865437)

👤
Provider Name / Credentials Updated November 06, 2014

Recorded as CRISTIN WISE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2014

Pediatrics (License #2013-01121 in NC)

🟢
Initial NPI Registration & Enumeration April 02, 2007

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: 1881715746
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 02, 2007
Last Update: August 26, 2019
Sole Proprietor: No

Mailing Address

3914 Centreville Rd Ste 101

Chantilly, VA 201513289

Phone: 7034818600

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.