Kristine M. Wake, MD
Pediatrics Physician · Park City, UT
Kristine M. Wake, MD is a pediatrics physician with a practice address in Park City, Utah, and NPI 1932216975, issued on Aug 24, 2006. Check the license (Utah 12807093-1205, as entered in NPPES) on the Utah Medical Licensing Board; the Medicare figures below come from public CMS files.
- Name
- Kristine M. Wake
- Credential
- MD
- Primary taxonomy
- Pediatrics Physician 208000000X
- License numbers
- 12807093-1205 UT
41975 WI
Self-reported in NPPES; status is on the state search - Practice location
- 750 Round Valley Dr Ste 102, Park City, UT 84060
- Phone
- (435) 655-0926
- Enumerated
- Aug 24, 2006
- Record last updated
- Mar 7, 2023
- Fax
- (435) 649-3748
- Medicaid ID
- 1932216975 WI
- Entity
- Type 1 · individual
8 nearest pediatrics physician records → All 670 in Utah → Look up another NPI →
Also registered at 750 Round Valley Dr Ste 102
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Morgan LeaventonFamily Nurse Practitioner1699571877
Verify Kristine M. Wake in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersUtah Medical Licensing Board
Search for license 12807093-1205Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $14.75
1 payment: food and beverage; the largest payer was Corium, LLC. The 21,580 providers of this specialty with any payment received $842.05 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Kristine M. Wake among 670 pediatrics physician records in Utah
Kristine M. Wake, MD is one of 670 pediatrics physician records with a practice address in Utah. 37% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 11% of them.
- NPI issued2006 · 11% of these records are older, 58% newer
- In a Medicare fileYes · 37% of these records are
- In the CMS Doctors and Clinicians fileNo · 9% of these records are
- Record last updated2023 · 62% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208000000X and a Utah practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
13 pediatrics physician records list a practice address in Park City
They are 13 of the 664 NPPES records with a practice address in Park City, and 670 pediatrics physician records in Utah.
All 670 in Utah → Every provider in Park City → Pediatrics Physician nationwide →
The 8 pediatrics physician records with the nearest ZIP codes
- Alison Delgado, M.D.Park City, UT 840601649413212
- Richard Lamere, MDPark City, UT 840601578643219
- Katherine Lavender, M.D.Park City, UT 840601326229550
- Kathy Ostler, MDPark City, UT 840601700869153
- Monica Schaffer, MDPark City, UT 840601093798407
- Lena Terry, MDPark City, UT 840601477536886
- Leslie Webster, MDPark City, UT 840601821071242
- Robert Winn, M.D.Park City, UT 840601912951393
Common questions
What is Kristine M. Wake, MD's NPI number?
Kristine M. Wake, MD's National Provider Identifier (NPI) is 1932216975, issued on Aug 24, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Kristine M. Wake, MD located?
The NPPES record lists a practice address at 750 Round Valley Dr Ste 102, Park City, UT, 84060. Phone: (435) 655-0926. Providers update this record themselves, so call before visiting.
How can I verify Kristine M. Wake, MD's license?
NPPES lists Utah license number 12807093-1205, as entered by the provider. Search the Utah Medical Licensing Board at https://secure.utah.gov/llv/search/index.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.