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DOMONIQUE S WILSON PMHNP-BC
NPI 1124893151
Nurse Practitioner - Psychiatric/Mental Health in Washington, PA

Active since November 20, 2023PECOS EnrolledAccepts Medicare Assignment
3000 PARK PLACE DR STE 108, WASHINGTON, PA 15301(724) 374-3468(724) 258-8914 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 6, 2025, Nov 20, 2023 (2 updates tracked since 2023).

About Domonique S Wilson Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOMONIQUE S WILSON PMHNP-BC (NPI 1124893151) is an individual psychiatric/mental health provider in Washington, Pennsylvania, licensed in Pennsylvania (SP029678) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1124893151
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDOMONIQUE S WILSONCredential: PMHNP-BC
Location Address3000 PARK PLACE DR STE 108Washington, PA 15301-2068
Mailing Address230 N Craig St Ste BPittsburgh, PA 15213-1569 · (610) 892-3800
Phone(724) 374-3468
Fax(724) 258-8914
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 20, 2023
Last NPPES UpdateJuly 25, 20252 updates tracked since enumeration
NPPES CertifiedJuly 25, 2025
✔ NPI 1124893151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in PA · SP029678✔ Licensed in OH · APRNCNP0035421
3000 PARK PLACE DR STE 108, Washington, PA 15301
Open in Google Maps ↗

Secondary Practice Locations 2

Location 115613 Pineview Dr Ste CEast Liverpool, OH 43920-9096 · Phone (330) 932-1594
Location 2230 N Craig St Ste BPittsburgh, PA 15213-1569 · Phone (610) 892-3800

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.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

Domonique S Wilson Pmhnp-bc 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 ID7517304256
PECOS Enrollment IDI20250108000356
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Domonique Wilson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cope Treatment Centers In
38 mi
Psychiatry
15613 PINEVIEW DR STE C
East Liverpool, OH 43920
  • Reassigned Medicare billing, Ohio enrollment
  • 14 clinicians in this Medicare group
NPI 1417022682 (330) 932-1594
Vital Healthcare Solutions
221 mi
Psychiatry
300 WINDMILL RD
Sinking Springs, PA 19608
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 166 clinicians in this Medicare group
NPI 1659736957 (814) 505-7060
Silver Willow Wellness PC
222 mi
Geriatric Medicine
2395 LANCASTER PIKE FL 1
Reading, PA 19607
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 137 clinicians in this Medicare group
NPI 1659164697 (585) 233-2817
Delaware County Professional Services, Inc
253 mi
Psychiatry
1055 E BALTIMORE PIKE STE 303
Media, PA 19063
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 353 clinicians in this Medicare group
NPI 1952485864 (610) 892-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
69 services15 patients
Administration of psychological or neuropsychological test, first 30 minutes 96136
This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15301 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH ALICIA GREBECK MA
Counselor (Mental Health)
3000 PARK PLACE DR STE 108
WASHINGTON, PA 15301
Washington County (724) 300-8028
TIFFANY WEBSTER
Counselor (Mental Health)
3000 PARK PLACE DR STE 108
WASHINGTON, PA 15301
Washington County (724) 300-8028
MISS KACIE LEIGH DUGAS
Counselor (Professional)
3000 PARK PLACE DR STE 108
WASHINGTON, PA 15301
Washington County (724) 374-3468
MICHELLE MADONNA NCC, LPC
Counselor (Mental Health)
3000 PARK PLACE DR STE 108
WASHINGTON, PA 15301
Washington County (724) 300-8028
MR. ZACHARY BUDDE MS, LAPC
Counselor
3000 PARK PLACE DR STE 108
WASHINGTON, PA 15301
Washington County (724) 300-8028
JILL MAZZA
Counselor
3000 PARK PLACE DR STE 108
WASHINGTON, PA 15301
Washington County (724) 374-3468
SHANNON LYNN BARKSDALE
Counselor (Mental Health)
3000 PARK PLACE DR STE 108
WASHINGTON, PA 15301
Washington County (724) 300-8028
STEPHANIE OSTROSKY MA, NCC
Counselor (Mental Health)
3000 PARK PLACE DR STE 108
WASHINGTON, PA 15301
Washington County (724) 300-8028

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 Domonique Wilson's NPI number?

The NPI number for Domonique Wilson is 1124893151. It was assigned to this individual provider in the NPPES registry on November 20, 2023.

Where is Domonique Wilson located?

Domonique Wilson practices at 3000 Park Place Dr Ste 108, Washington, PA 15301. The listed phone number is (724) 374-3468.

What is Domonique Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Domonique Wilson enrolled in Medicare?

Yes. Domonique 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 Domonique Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Domonique Wilson reassigns Medicare benefits to 4 organizations: Cope Treatment Centers In (East Liverpool, OH), Vital Healthcare Solutions (Sinking Springs, PA), Silver Willow Wellness PC (Reading, PA) and Delaware County Professional Services, Inc (Media, PA). 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 Domonique Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Domonique Wilson accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 1 other insurer list Domonique 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.

When was this NPI record last updated?

The NPPES record for Domonique Wilson was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.