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, 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).
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.
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 September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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
- **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.