SHERESA WILSON PA-C, LMHCA
NPI 1114001237
Physician Assistant in Fort Wayne, IN
About Sheresa Wilson Pa-c, Lmhca NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHERESA WILSON PA-C, LMHCA (NPI 1114001237) is an individual physician assistant in Fort Wayne, Indiana, licensed in Indiana (10000892A) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Promedica Coldwater Regional Hospital, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sheresa Wilson Pa-c, Lmhca is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Sheresa Wilson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Wayne, IN 46805
- Reassigned Medicare billing, Indiana enrollment
- 103 clinicians in this Medicare group
Fort Wayne, IN 46845
- Reassigned Medicare billing, Indiana enrollment
- 1,752 clinicians in this Medicare group
Toledo, OH 43604
- Reassigned Medicare billing, Ohio enrollment
- 303 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Promedica Coldwater Regional Hospital
Acute Care Hospitals · Coldwater, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46805 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT WAYNE, IN 46805
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 Sheresa Wilson's NPI number?
The NPI number for Sheresa Wilson is 1114001237. It was assigned to this individual provider in the NPPES registry on October 25, 2006. The provider is also known as Sheresa Wilson-Devries Pa-C.
Where is Sheresa Wilson located?
Sheresa Wilson practices at 2710 Lake Ave, Fort Wayne, IN 46805. The listed phone number is (260) 481-2700.
What is Sheresa Wilson's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Sheresa Wilson enrolled in Medicare?
Yes. Sheresa Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Sheresa Wilson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sheresa Wilson reassigns Medicare benefits to 3 organizations: Park Center Inc (Fort Wayne, IN), Parkview Health System,inc. (Fort Wayne, IN) and Promedica Multi Specialty Physicians (Toledo, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sheresa Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sheresa Wilson accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Sheresa Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Sheresa Wilson affiliated with any hospitals?
According to CMS data, Sheresa Wilson is affiliated with Promedica Coldwater Regional Hospital.
When was this NPI record last updated?
The NPPES record for Sheresa Wilson was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
# Sheresa Wilson, PA-C, LMHCA · NPI 1114001237
Physician Assistant physician in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since October 25, 2006.
## Identity
- **NPI:** 1114001237 (Entity type: Individual)
- **Enumerated:** October 25, 2006
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 10000892A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 2710 LAKE AVE, Fort Wayne, IN 46805-5412
- **Phone:** (260) 481-2700 · **Fax:** (260) 969-8448
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Park Center Inc (NPI 1306897004, Fort Wayne, IN); Parkview Health System,inc. (NPI 1437461449, Fort Wayne, IN); Promedica Multi Specialty Physicians (NPI 1306105150, Toledo, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** January 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1114001237) · Data from the CMS NPPES public registry.