BRENDA LYNNE WILSON RN, PMHNP-BC
NPI 1376343434
Nurse Practitioner - Psychiatric/Mental Health in Du Quoin, IL

Active since March 18, 2025PECOS Enrolled
119 GAS PLANT RD, DU QUOIN, IL 62832(618) 790-2146(618) 790-2147 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 27, 2026, Jun 10, 2025, Mar 18, 2025 (3 updates tracked since 2025).

About Brenda Lynne Wilson Rn, Pmhnp-bc NPPES

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

BRENDA LYNNE WILSON RN, PMHNP-BC (NPI 1376343434) is an individual psychiatric/mental health provider in Du Quoin, Illinois, licensed in Illinois (209032497) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1376343434
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameBRENDA LYNNE WILSONCredential: RN, PMHNP-BC
Location Address119 GAS PLANT RDDu Quoin, IL 62832-3866
Mailing AddressPo Box 155Christopher, IL 62822-0155 · (618) 724-2401 · Fax (618) 724-9257
Fax(618) 790-2147
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 18, 2025
Last NPPES UpdateJanuary 27, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2026
NPI 1376343434 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
License Licensed in IL · 209032497
119 GAS PLANT RD, Du Quoin, IL 62832

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Brenda Lynne Wilson Rn, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799297875
PECOS Enrollment IDI20250624003579
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62832 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Licensed Practical Nurse
119 GAS PLANT RD
DU QUOIN, IL 62832
Licensed Practical Nurse
119 GAS PLANT RD
DU QUOIN, IL 62832
Licensed Practical Nurse
119 GAS PLANT RD
DU QUOIN, IL 62832
Licensed Practical Nurse
119 GAS PLANT RD
DU QUOIN, IL 62832
Clinic/Center (Federally Qualified Health Center (FQHC))
119 GAS PLANT RD
DU QUOIN, IL 62832
Licensed Practical Nurse
119 GAS PLANT RD
DU QUOIN, IL 62832
Physician Assistant (Medical)
119 GAS PLANT RD, REA CLINIC DU QUOIN
DU QUOIN, IL 62832
Registered Nurse
119 GAS PLANT RD
DU QUOIN, IL 62832

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 Brenda Wilson's NPI number?

The NPI number for Brenda Wilson is 1376343434. It was assigned to this individual provider in the NPPES registry on March 18, 2025.

Where is Brenda Wilson located?

Brenda Wilson practices at 119 Gas Plant Rd, Du Quoin, IL 62832. The listed phone number is (618) 790-2146.

What is Brenda Wilson's specialty?

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

Is Brenda Wilson enrolled in Medicare?

Yes. Brenda Wilson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brenda Wilson was last updated on January 27, 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.