RAQUEL WILSON PMHNP-BC
NPI 1457104564
Nurse Practitioner - Psychiatric/Mental Health in West Memphis, AR

Q: What is Raquel Wilson's NPI number?

The NPI number for Raquel Wilson is 1457104564. It was assigned to this individual provider in the NPPES registry on April 9, 2024.

Q: What is Raquel Wilson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Raquel Wilson was last updated on February 11, 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.

Active since April 09, 2024PECOS Enrolled

309 N 5TH ST, WEST MEMPHIS, AR 72301(870) 260-7902 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 26, 2026, Apr 24, 2024, Apr 9, 2024 (3 updates tracked since 2024).

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About Raquel Wilson Pmhnp-bc NPPES

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

RAQUEL WILSON PMHNP-BC (NPI 1457104564) is an individual psychiatric/mental health provider in West Memphis, Arkansas, licensed in Arkansas (228158) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1457104564

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameRAQUEL WILSONCredential: PMHNP-BC

Location Address309 N 5TH STWest Memphis, AR 72301-3213

Mailing Address1500 Oaklawn DrWest Memphis, AR 72301-2996 · (870) 260-7902

Phone(870) 260-7902

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateApril 9, 2024

Last NPPES UpdateFebruary 11, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 11, 2026

✔ NPI 1457104564 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

License✔ Licensed in AR · 228158

Also ListedRegistered NurseTaxonomy 163W00000X · License R08131 (AR), 927570 (TX)

309 N 5TH ST, West Memphis, AR 72301

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID7416475538

PECOS Enrollment IDI20250911001526, I20260702004022

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 72301 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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 2

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

DR. DONALD LEE MCDONALD MD

Psychiatry & Neurology (Psychiatry)

309 N 5TH ST
WEST MEMPHIS, AR 72301

Crittenden County (870) 732-6600

CLEAR PATH PSYCHIATRY, PLLC

Clinic/Center (Adult Mental Health)

309 N 5TH ST
WEST MEMPHIS, AR 72301

Crittenden County (870) 260-7902

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 Raquel Wilson's NPI number?

The NPI number for Raquel Wilson is 1457104564. It was assigned to this individual provider in the NPPES registry on April 9, 2024.

Where is Raquel Wilson located?

Raquel Wilson practices at 309 N 5th St, West Memphis, AR 72301. The listed phone number is (870) 260-7902.

What is Raquel Wilson's specialty?

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

Is Raquel Wilson enrolled in Medicare?

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

What insurance does Raquel Wilson accept?

Health plans from Providence Health Plan list Raquel 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 Raquel Wilson was last updated on February 11, 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.