TEICHA WILSON MD
NPI 1306818125
Pediatrics - Neonatal-Perinatal Medicine in Gallup, NM
NPI Status: Active since February 06, 2006
Contact Information
2111 COLLEGE DR
REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES
GALLUP, NM
ZIP 87301
Phone: (505) 863-1820
- Individual
- Female
- Pediatrics
- Neonatal-Perinatal Medicine
- Accepts Insurance
- PECOS Enrolled
About TEICHA WILSON
This page provides the complete NPI Profile along with additional information for Teicha Wilson, a pediatrician established in Gallup, New Mexico with a medical specialization in Pediatrics, focusing in neonatal-perinatal medicine . The healthcare provider is registered in the NPI registry with number 1306818125 assigned on February 2006. The practitioner's primary taxonomy code is 2080N0001X with license number MD60027915 (WA). The provider is registered as an individual and her NPI record was last updated 12 years ago.
- NPI
- 1306818125
- Provider Name
- TEICHA WILSON MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2111 COLLEGE DR REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES GALLUP, NM 87301
- Location Phone
- (505) 863-1820
- Mailing Address
- 1901 REDROCK DR PFS DEPT GALLUP, NM 87301
- Mailing Phone
- (505) 863-7000
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-06-2006
- Last Update Date
- 01-28-2014
- Code Navigator
A pediatrician like Teicha Wilson is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Neonatal-Perinatal Medicine
- Taxonomy Code
- 2080N0001X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD60027915
- License State
- WA
- Taxonomy Description
- A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | MD2004-0819 (NM) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Preferred Bronze PPO? 201 - PPO
- Blue Preferred Bronze PPO? 202 - PPO
- Blue Preferred Bronze PPO? Standard - PPO
- Blue Preferred Gold PPO? 204 - PPO
- Blue Preferred Gold PPO? 901 - PPO
- Blue Preferred Gold PPO? Standard - PPO
- Blue Preferred Security PPO? 200 - PPO
- Blue Preferred Silver PPO? 203 - PPO
- Blue Preferred Silver PPO? 308 - PPO
- Blue Preferred Silver PPO? Standard - PPO
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| NM009W12 | OTHER (01) | NM | BCBS |
| QMYPR0068268 | OTHER (01) | MOLINA | |
| 953126 | MEDICAID (05) | AZ | |
| I43333 | MEDICARE UPIN (02) | ||
| 348529002 | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| 202000082 | OTHER (01) | NM | PRESBYTERIAN HEALTH/SALUD |
| 10019728 | OTHER (01) | NM | LOVELACE HEALTH/SALUD |
| 348529003 | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| 42378516 | MEDICAID (05) | NM |
Medicare Participation & PECOS Enrollment Status
Teicha Wilson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for TEICHA WILSON MD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 0 | 6 | 8 | 1 | 8 | 1 | 2 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 0 | 6 | 16 | 1 | 16 | 1 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 0 + 6 + 1 + 6 + 1 + 1 + 6 + 1 + 4 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1306818125 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1538147640 | CHRISTOPHER GONZAGA MD Individual | Internal Medicine (Infectious Disease) | 2111 COLLEGE DR REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES GALLUP, NM 87301 (505) 863-1820 |
| 1295707651 | JUDY LIESVELD CNP Individual | Nurse Practitioner | 2111 COLLEGE DR REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES GALLUP, NM 87301 (505) 863-1820 |
| 1942272208 | KATHLEEN MEZOFF MD Individual | Pediatrics (Developmental - Behavioral Pediatrics) | 2111 COLLEGE DR GALLUP, NM 87301 (505) 863-1820 |
| 1356313647 | MARY POEL MD Individual | Pediatrics | 2111 COLLEGE DR GALLUP, NM 87301 (505) 863-1820 |
| 1497727218 | GWEN WILSON PA Individual | Physician Assistant | 2111 COLLEGE DR REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES GALLUP, NM 87301 (505) 863-1820 |
| 1285663658 | DR. GAYLE ANN HARRISON M.D. Individual | Pediatrics | 2111 COLLEGE DR GALLUP, NM 87301 (505) 863-1820 |
| 1780123935 | DAISY ARSENAULT REGISTERED DIETITIAN Individual | Dietitian, Registered | 2111 COLLEGE DR GALLUP, NM 87301 (505) 863-1820 |
| 1922242965 | DR. MELINDA KATHRYN ROGERS M.D. Individual | Pediatrics | 2111 COLLEGE DR GALLUP, NM 87301 (505) 863-1820 |
| 1538635610 | SCOTT PADEN RDN Individual | Dietitian, Registered | 2111 COLLEGE DR GALLUP, NM 87301 (505) 863-1820 |
| 1487844791 | DR. NICOLAS LEE PETERS M.D. Individual | Pediatrics | 2111 COLLEGE DR GALLUP, NM 87301 (505) 863-1820 |
| 1558994301 | SARAH SHARPTON Individual | Health Educator | 2111 COLLEGE DR GALLUP, NM 87301 (505) 863-7136 |
| 1306215926 | ANTONIA HERNANDEZ CPNP, RN Individual | Nurse Practitioner (Pediatrics) | 2111 COLLEGE DR GALLUP, NM 87301 (505) 863-1820 |
| 1245805761 | MRS. SANAA BAKER FAMILY NURSE PRACTIT Individual | Nurse Practitioner (Family) | 2111 COLLEGE DR GALLUP, NM 87301 (505) 863-1820 |
| 1952074742 | MICHELLE DIANNE DEARMOND APRN-CNP Individual | Nurse Practitioner (Family) | 2111 COLLEGE DR GALLUP, NM 87301 (505) 863-1820 |
| 1205693579 | CHRISTOPHER CODY BALDONADO RN Individual | Case Manager/Care Coordinator | 2111 COLLEGE DR GALLUP, NM 87301 (505) 397-5797 |
| 1891496469 | TAYLOR ANNE TEN PAS PA-C Individual | Physician Assistant | 2111 COLLEGE DR GALLUP, NM 87301 (505) 397-5172 |
| 1679389415 | TERESA MITCHELL LMHC Individual | Counselor (Mental Health) | 2111 COLLEGE DR GALLUP, NM 87301 (505) 397-5172 |
| 1164230090 | KRISTEN JOY PIKAART CHW Individual | Community Health Worker | 2111 COLLEGE DR GALLUP, NM 87301 (505) 870-8445 |
| 1508652678 | SHELBY L JACKSON CHW Individual | Community Health Worker | 2111 COLLEGE DR GALLUP, NM 87301 (505) 397-5172 |
| 1962269118 | MS. JAYLYN DENISE RANDLES CPSW, CHW Individual | Community Health Worker | 2111 COLLEGE DR GALLUP, NM 87301 (505) 879-5655 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306818125, enumerated in the NPI registry as an "individual" on February 06, 2006
The provider is located at 2111 College Dr Rehoboth Mckinley Christian Health Care Services Gallup, Nm 87301 and the phone number is (505) 863-1820
The provider's speciality is Pediatrics with taxonomy code 2080N0001X with a focus in Neonatal-Perinatal Medicine
The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Premera. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on February 06, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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