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ANGELA WILSON PMHNP-BC
NPI 1386529865
Registered Nurse - Psychiatric/Mental Health in Peoria, IL

Active since August 06, 2025
1701 W GARDEN ST, PEORIA, IL 61605(309) 680-7600 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Angela Wilson Pmhnp-bc NPPES

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

ANGELA WILSON PMHNP-BC (NPI 1386529865) is an individual psychiatric/mental health provider in Peoria, Illinois, licensed in Illinois (209032904) and active in the NPI registry since August 2025. She maintains a secondary practice location in Peoria.

NPPES Registry Identity

NPI1386529865
Entity TypeIndividualFemale
Primary Taxonomy163WP0808X
Provider Legal NameANGELA WILSONCredential: PMHNP-BC
Location Address1701 W GARDEN STPeoria, IL 61605-3531
Mailing Address1514 Summer StPekin, IL 61554-5643 · (309) 453-4688
Phone(309) 680-7600
Sole ProprietorYes
Enumeration DateAugust 6, 2025
NPPES CertifiedAugust 6, 2025
✔ NPI 1386529865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License✔ Licensed in IL · 209032904
1701 W GARDEN ST, Peoria, IL 61605
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Secondary Practice Location 1

Location 12321 N Wisconsin AvePeoria, IL 61603-5613 · Phone (309) 680-7600

Other Providers at the Same Location NPPES 14

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

SARAH R KOSCICA MD
Family Medicine
1701 W GARDEN ST
PEORIA, IL 61605
Peoria County (309) 680-7600
EDWARD E ETHERTON NP
Nurse Practitioner
1701 W GARDEN ST
PEORIA, IL 61605
Peoria County (309) 680-7600
MARCUS ISMEDHI MUTIDJO APN
Nurse Practitioner (Family)
1701 W GARDEN ST
PEORIA, IL 61605
Peoria County (309) 680-7600
DAVID L GORENZ M.D.
Internal Medicine (Pulmonary Disease)
1701 W GARDEN ST
PEORIA, IL 61605
Peoria County (309) 680-7600
DR. BONNIE SMITH M.D.
Family Medicine
1701 W GARDEN ST
PEORIA, IL 61605
Peoria County (309) 680-7600
HEARTLAND COMMUNITY HEALTH CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
1701 W GARDEN ST
PEORIA, IL 61605
Peoria County (309) 680-7600
BRADEN WILLIAMS PA
Physician Assistant
1701 W GARDEN ST
PEORIA, IL 61605
Peoria County (309) 680-7600
GREGG D STONER MD
Family Medicine
1701 W GARDEN ST
PEORIA, IL 61605
Peoria County (309) 680-7600

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 Angela Wilson's NPI number?

The NPI number for Angela Wilson is 1386529865. It was assigned to this individual provider in the NPPES registry on August 6, 2025.

Where is Angela Wilson located?

Angela Wilson practices at 1701 W Garden St, Peoria, IL 61605. The listed phone number is (309) 680-7600.

What is Angela Wilson's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

When was this NPI record last updated?

The NPPES record for Angela Wilson was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.