MISS SHYEASHA TANIKA WILSON APRN-BC, PMHNP-BC
NPI 1073167185
Nurse Practitioner - Psychiatric/Mental Health in Columbia, SC
About Miss Shyeasha Tanika Wilson Aprn-bc, Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS SHYEASHA TANIKA WILSON APRN-BC, PMHNP-BC (NPI 1073167185) is an individual psychiatric/mental health provider in Columbia, South Carolina, licensed in South Carolina (23783) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Miss Shyeasha Tanika Wilson Aprn-bc, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COLUMBIA, SC 29201
COLUMBIA, SC 29201
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shyeasha Wilson's NPI number?
The NPI number for Shyeasha Wilson is 1073167185. It was assigned to this individual provider in the NPPES registry on July 26, 2019. The provider is also known as Shy Wilson Aprn-Bc, Pmhnp-Bc.
Where is Shyeasha Wilson located?
Shyeasha Wilson practices at 1911 Gadsden St Ste 204, Columbia, SC 29201. The listed phone number is (803) 254-9767.
What is Shyeasha Wilson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Shyeasha Wilson enrolled in Medicare?
Yes. Shyeasha Wilson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Shyeasha Wilson was last updated on June 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Miss Shyeasha Tanika Wilson, APRN-BC, PMHNP-BC · NPI 1073167185
Psychiatric/Mental Health physician in Columbia, South Carolina. Individual provider, active in the CMS NPPES registry since July 26, 2019.
## Identity
- **NPI:** 1073167185 (Entity type: Individual)
- **Enumerated:** July 26, 2019
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 23783 (South Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1911 GADSDEN ST STE 204, Columbia, SC 29201-6400
- **Phone:** (803) 254-9767
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 14, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1073167185) · Data from the CMS NPPES public registry.