MS. DOMINIQUE RENEE WILSON DNP, PMHNP, FNP
NPI 1295019909
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR
About Ms. Dominique Renee Wilson Dnp, Pmhnp, Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. DOMINIQUE RENEE WILSON DNP, PMHNP, FNP (NPI 1295019909) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (202100794NP) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted 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
Ms. Dominique Renee Wilson Dnp, Pmhnp, Fnp 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97202 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97202
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295019909, enumerated as an "individual" on September 30, 2011.
The provider is located at 205 SE SPOKANE ST STE 300 PORTLAND, OR 97202 and the phone number is (855) 704-2004.
Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, BridgeSpan. Please consult your insurance carrier or call the provider to verify.
