MISS DIEDRA MICHELLE WILSON PMHNP-BC
NPI 1538038682
Nurse Practitioner - Psychiatric/Mental Health in Willoughby Hills, OH

Q: What is Diedra Wilson's NPI number?

The NPI number for Diedra Wilson is 1538038682. It was assigned to this individual provider in the NPPES registry on November 5, 2025.

Q: What is Diedra 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 Diedra Wilson was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 November 05, 2025

38501 MENTOR AVE APT 250, WILLOUGHBY HILLS, OH 44094(216) 502-5313 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Miss Diedra Michelle Wilson Pmhnp-bc NPPES

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

MISS DIEDRA MICHELLE WILSON PMHNP-BC (NPI 1538038682) is an individual psychiatric/mental health provider in Willoughby Hills, Ohio, licensed in Ohio (0038687) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1538038682

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMISS DIEDRA MICHELLE WILSONCredential: PMHNP-BC

Location Address38501 MENTOR AVE APT 250Willoughby Hills, OH 44094-7734

Mailing Address38501 Mentor Ave Apt 250Willoughby Hills, OH 44094-7734 · (216) 502-5313

Phone(216) 502-5313

Sole ProprietorYes

Enumeration DateNovember 5, 2025

NPPES CertifiedNovember 4, 2025

✔ NPI 1538038682 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

License✔ Licensed in OH · 0038687

38501 MENTOR AVE APT 250, Willoughby Hills, OH 44094

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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 Diedra Wilson's NPI number?

The NPI number for Diedra Wilson is 1538038682. It was assigned to this individual provider in the NPPES registry on November 5, 2025.

Where is Diedra Wilson located?

Diedra Wilson practices at 38501 Mentor Ave Apt 250, Willoughby Hills, OH 44094. The listed phone number is (216) 502-5313.

What is Diedra Wilson's specialty?

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

When was this NPI record last updated?

The NPPES record for Diedra Wilson was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.