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SHERESA WILSON PA-C, LMHCA
NPI 1114001237
Physician Assistant in Fort Wayne, IN

Active since October 25, 2006PECOS EnrolledAccepts Medicare Assignment
2710 LAKE AVE, FORT WAYNE, IN 46805(260) 481-2700(260) 969-8448 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 13, 2026, Apr 26, 2024, Dec 28, 2021 (3 updates tracked since 2021).

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

NPI1114001237
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHERESA WILSONCredential: PA-C, LMHCA
Location Address2710 LAKE AVEFort Wayne, IN 46805-5412
Mailing Address16311 Page RdGrabill, IN 46741-9612 · (260) 452-6700
Phone(260) 481-2700
Fax(260) 969-8448
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 25, 2006
Last NPPES UpdateJanuary 13, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2026
✔ NPI 1114001237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in IN · 10000892A✔ Licensed in MI · 5601005190
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 88001982A (IN)
2710 LAKE AVE, Fort Wayne, IN 46805
Open in Google Maps ↗

Other Names 1

Former Name (1)Sheresa Wilson-devries Pa-c

Secondary Practice Locations 3

Location 11720 Beacon StFort Wayne, IN 46805-4749 · Phone (260) 373-8000 · Fax (260) 373-8034
Location 2419 Airport North Office ParkFort Wayne, IN 46825-6704 · Phone (260) 267-5185
Location 3370 E Chicago St Ste 200Coldwater, MI 49036-2062 · Phone (517) 279-5378 · Fax (517) 279-5259

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID4385748201
PECOS Enrollment IDI20260211002057
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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, MI
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number230022
Location274 E Chicago StColdwater, MI 49036 · Branch County
Emergency services Birthing friendly

Physician 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.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

STEPHEN H. GLASSLEY M.D.
Family Medicine
2710 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 373-8070
JESSICA MARIE DZIONDZIAK
Nurse Practitioner
2710 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 481-2700
MS. SHERRI SUE ALBERTSON PMHNP BC
Nurse Practitioner (Psychiatric/Mental Health)
2710 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 471-9440
KAREN S LOTHAMER RN, CNS
Nurse Practitioner
2710 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 481-2700

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.

What insurance does Sheresa Wilson accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and UnitedHealthcare 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 6 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.