RAQUEL WILSON PMHNP-BC
NPI 1457104564
Nurse Practitioner - Psychiatric/Mental Health in West Memphis, AR
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 Tennessee (36872) 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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Raquel Wilson Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Raquel Wilson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Little Rock, AR 72205
- Reassigned Medicare billing, Arkansas enrollment
- 35 clinicians in this Medicare group
Dallas, TX 75201
- Reassigned Medicare billing, Oregon enrollment
- 15 clinicians in this Medicare group
Houston, TX 77070
- Reassigned Medicare billing, Arkansas, Arizona, Colorado, Tennessee and Texas enrollments
- 26 clinicians in this Medicare group
Houston, TX 77070
- Reassigned Medicare billing, Arkansas, Arizona, Colorado, Tennessee and Texas enrollments
- 26 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organizations bill Medicare for Raquel Wilson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Raquel Wilson reassigns Medicare benefits to 4 organizations: Forefront-Rush Medical Services PC (Little Rock, AR), Forefront-Rosenzweig Medical Services Professional Corporation (Dallas, TX), Psychiatry Of Texas PLLC (Houston, TX) and Psychplus Medical Associates, PLLC (Houston, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Raquel Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Raquel Wilson accept?
Health plans from Community First, Oscar Insurance Company and UnitedHealthcare 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 September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.
# Raquel Wilson, PMHNP-BC · NPI 1457104564
Psychiatric/Mental Health physician in West Memphis, Arkansas. Individual provider, active in the CMS NPPES registry since April 9, 2024.
## Identity
- **NPI:** 1457104564 (Entity type: Individual)
- **Enumerated:** April 9, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 36872 (Tennessee)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 309 N 5TH ST, West Memphis, AR 72301-3213
- **Phone:** (870) 260-7902
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Forefront-Rush Medical Services PC (NPI 1588152649, Little Rock, AR); Forefront-Rosenzweig Medical Services Professional Corporation (NPI 1588101745, Dallas, TX); Psychiatry Of Texas PLLC (NPI 1013476027, Houston, TX); Psychplus Medical Associates, PLLC (NPI 1558118026, Houston, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** September 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1457104564) · Data from the CMS NPPES public registry.