MS. STEPHANIE J. WILSON PMHNP
NPI 1336687144
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL

Active since February 01, 2017PECOS EnrolledAccepts Medicare Assignment
641 W 63RD ST, CHICAGO, IL 60621(773) 580-5190 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2026, Dec 9, 2025, Feb 13, 2023 and 1 more (4 updates tracked since 2017).

About Ms. Stephanie J. Wilson Pmhnp NPPES

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

MS. STEPHANIE J. WILSON PMHNP (NPI 1336687144) is an individual psychiatric/mental health provider in Chicago, Illinois, licensed in Illinois (377002534) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Naperville, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1336687144
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. STEPHANIE J. WILSONCredential: PMHNP
Location Address641 W 63RD STChicago, IL 60621-2032
Mailing Address3736 W 78th StChicago, IL 60652-1826 · (773) 580-5190
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 1, 2017
Last NPPES UpdateApril 9, 20264 updates tracked since enumeration
NPPES CertifiedApril 9, 2026
NPI 1336687144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in IL · 377002534 Licensed in WA · APTP.N3.70119065 Licensed in NY · 404928 Licensed in IL · 277002629 Licensed in NJ · 26NJ01480900 Licensed in IN · 71016307A Licensed in AZ · 328406
Also ListedRegistered NurseTaxonomy 163W00000X · License 041.391640 (IL)
641 W 63RD ST, Chicago, IL 60621

Secondary Practice Location 1

Location 11801 N Mill St Ste LNaperville, IL 60563-4869 · Phone (773) 580-5190

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. Stephanie J. Wilson Pmhnp 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 ID4385184860
PECOS Enrollment IDI20240911001098
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.

Areas of Expertise CMS Part B claims

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.

Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60621 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Nurse Practitioner (Women's Health)
641 W 63RD ST
CHICAGO, IL 60621
Case Manager/Care Coordinator
641 W 63RD ST
CHICAGO, IL 60621
Registered Nurse (Community Health)
641 W 63RD ST
CHICAGO, IL 60621
Clinic/Center (Adult Mental Health)
641 W 63RD ST, L33
CHICAGO, IL 60621
Clinic/Center (Federally Qualified Health Center (FQHC))
641 W 63RD ST
CHICAGO, IL 60621
Social Worker (Clinical)
641 W 63RD ST, L33
CHICAGO, IL 60621
Pediatrics
641 W 63RD ST
CHICAGO, IL 60621
Psychologist (Clinical)
641 W 63RD ST, SPECIALTY CLINIC, LOWER LEVEL
CHICAGO, IL 60621

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 Stephanie Wilson's NPI number?

The NPI number for Stephanie Wilson is 1336687144. It was assigned to this individual provider in the NPPES registry on February 1, 2017.

Where is Stephanie Wilson located?

Stephanie Wilson practices at 641 W 63rd St, Chicago, IL 60621. The listed phone number is (773) 580-5190.

What is Stephanie Wilson's specialty?

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

Is Stephanie Wilson enrolled in Medicare?

Yes. Stephanie 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 Stephanie Wilson accept?

Health plans from UnitedHealthcare list Stephanie 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 Stephanie Wilson was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.