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SHERESA WILSON PA-C LLC
NPI 1528865177
Psychiatry & Neurology - Psychiatry in Fort Wayne, IN

Active since February 28, 2025
419 AIRPORT NORTH OFFICE PARK, FORT WAYNE, IN 46825(260) 452-6700 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sheresa Wilson Pa-c Llc NPPES

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

SHERESA WILSON PA-C LLC (NPI 1528865177) is a healthcare organization registered as a psychiatry in Fort Wayne, Indiana and active in the NPI registry since February 2025. The organization lists Sheresa Wilson, Owner, as its authorized official.

NPPES Registry Identity

NPI1528865177
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameSHERESA WILSON PA-C LLC
Location Address419 AIRPORT NORTH OFFICE PARKFort Wayne, IN 46825-6704
Mailing Address419 Airport North Office ParkFort Wayne, IN 46825-6704
Phone(260) 452-6700
Organization SubpartNo
Authorized OfficialSheresa WilsonOwner · (260) 452-6700
Enumeration DateFebruary 28, 2025
NPPES CertifiedFebruary 28, 2025
✔ NPI 1528865177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
419 AIRPORT NORTH OFFICE PARK, Fort Wayne, IN 46825
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Sheresa Wilson Pa-C LLC's NPI number?

The NPI number for Sheresa Wilson Pa-C LLC is 1528865177. It was assigned to this organization in the NPPES registry on February 28, 2025.

Where is Sheresa Wilson Pa-C LLC located?

Sheresa Wilson Pa-C LLC is located at 419 Airport North Office Park, Fort Wayne, IN 46825. The listed phone number is (260) 452-6700.

What is Sheresa Wilson Pa-C LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Sheresa Wilson Pa-C LLC was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.