Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kristen Mabus Wilson, CNP

Individual provider Family Nurse Practitioner · NPI 1831466747

Kristen Mabus Wilson, CNP is a Nurse Practitioner in Spartanburg, South Carolina. Qualified in 2011, 15 years ago. Practices with Spartanburg Medical Center, a 1,067-clinician group and accepts Medicare assignment. Licensed in North Carolina, Ohio and South Carolina.

Years since qualifying
15
Licensed in
NC, OH, SC
In the registry since
2011
Specialties on file
4
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

380 Serpentine Dr Ste 200
Spartanburg, SC 29303-3066
Phone: (864) 560-7050
Fax: (864) 560-0800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 20205 (SC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence COA 15085 NP (OH)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 207724 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence TL20205 (SC)

Record details

NPI number1831466747
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedNovember 20, 2011
Last updated in NPPESJanuary 19, 2021
Certification dateJanuary 19, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Spartanburg Medical Center — 1067 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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