MISS DAVONNA WILSON DNP, ARNP, PMHNP-BC
NPI 1467693366
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Q: What is Davonna Wilson's NPI number?

The NPI number for Davonna Wilson is 1467693366. It was assigned to this individual provider in the NPPES registry on March 23, 2009.

Q: What is Davonna 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 Davonna Wilson was last updated on September 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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 March 23, 2009PECOS Enrolled

205 SE SPOKANE ST STE 300, PORTLAND, OR 97202(888) 508-4068(503) 506-0602 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 2, 2023, May 28, 2023, Aug 25, 2021 and 1 more (4 updates tracked since 2020).

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About Miss Davonna Wilson Dnp, Arnp, Pmhnp-bc NPPES

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

MISS DAVONNA WILSON DNP, ARNP, PMHNP-BC (NPI 1467693366) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (202010502NP) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Spokane.

NPPES Registry Identity

NPI1467693366

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMISS DAVONNA WILSONCredential: DNP, ARNP, PMHNP-BC

Location Address205 SE SPOKANE ST STE 300Portland, OR 97202-6487

Mailing Address205 Se Spokane St Ste 300Portland, OR 97202-6487 · (888) 508-4068 · Fax (503) 506-0602

Phone(888) 508-4068

Fax(503) 506-0602

Sole ProprietorYes

Enumeration DateMarch 23, 2009

Last NPPES UpdateSeptember 20, 20234 updates tracked since enumeration

NPPES CertifiedSeptember 20, 2023

✔ NPI 1467693366 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

Licenses✔ Licensed in OR · 202010502NP✔ Licensed in ID · 64659✔ Licensed in AZ · 240847✔ Licensed in WA · AP61066680✔ Licensed in OR · 202010502NPPP✔ Licensed in WA · RN61066680✔ Licensed in DC · RN1059458

205 SE SPOKANE ST STE 300, Portland, OR 97202

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Secondary Practice Location 1

Location 1170 S Lincoln St # 100Spokane, WA 99201-4443 · Phone (888) 508-4068 · Fax (503) 508-0602

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Cigna HealthCare of Arizona, Inc, Kaiser Permanente and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Medicare Billing Reassignments

Medicare enrollment records show Davonna Wilson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dfw Psychiatry Associates PA

1,617 mi

Psychiatry

4500 HILLCREST RD, SUITE 115
Frisco, TX 75035

Reassigned Medicare billing, Texas enrollment
6 clinicians in this Medicare group

NPI 1932539210 (469) 213-6400

Adult Child & Adolescent Psychiatric Services PA

1,621 mi

Psychiatry

5501 INDEPENDENCE PKWY STE 302
Plano, TX 75023

Reassigned Medicare billing, Texas enrollment
11 clinicians in this Medicare group

NPI 1194036459 (469) 747-1010

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 97202 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

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

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 20

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

HEIDI STACHELRODT LMT

Massage Therapist