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DR. DAVONYA SANTRIA WILSON DNP, APRN, PMHNP-BC
NPI 1548851470
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL

Active since February 02, 2021PECOS EnrolledAccepts Medicare Assignment
45 W 111TH ST, CHICAGO, IL 60628(773) 291-1929(773) 995-3034 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 9, 2025, Feb 2, 2021 (2 updates tracked since 2021).

About Dr. Davonya Santria Wilson Dnp, Aprn, Pmhnp-bc NPPES

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

DR. DAVONYA SANTRIA WILSON DNP, APRN, PMHNP-BC (NPI 1548851470) is an individual psychiatric/mental health provider in Chicago, Illinois, licensed in Illinois (209.028498) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1548851470
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDR. DAVONYA SANTRIA WILSONCredential: DNP, APRN, PMHNP-BC
Location Address45 W 111TH STChicago, IL 60628-4200
Mailing Address45 W 111th StChicago, IL 60628-4200 · (773) 291-1929 · Fax (773) 995-3034
Phone(773) 291-1929
Fax(773) 995-3034
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 2, 2021
Last NPPES UpdateSeptember 9, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2025
✔ NPI 1548851470 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 IL · 209.028498
45 W 111TH ST, Chicago, IL 60628
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Davonya Santria Wilson Dnp, Aprn, Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729574835
PECOS Enrollment IDI20251229000454
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 Reassignment

Medicare enrollment records show Davonya Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cook County
3.6 mi
Multi-Specialty
12757 SOUTH WESTERN AVENUE
Blue Island, IL 60406
  • Reassigned Medicare billing, Illinois enrollment
  • 1,047 clinicians in this Medicare group
NPI 1649390022 (708) 633-2555

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 60628 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

SHAKIRA AYANLAJA APN
Nurse Practitioner (Family)
45 W 111TH ST
CHICAGO, IL 60628
Cook County (773) 995-3195
JUPITER JANELLE JONES FNP
Nurse Practitioner (Family)
45 W 111TH ST
CHICAGO, IL 60628
Cook County (773) 995-3000
NEW ROSE HEALTHCARE MANAGEMENT LLC
Emergency Medicine
45 W 111TH ST
CHICAGO, IL 60628
Cook County (773) 995-3000
JOY B WEST MD SC
Obstetrics & Gynecology
45 W 111TH ST
CHICAGO, IL 60628
Cook County (773) 995-3000
MADHUPA SUD MD SC
Pediatrics
45 W 111TH ST
CHICAGO, IL 60628
Cook County (773) 995-3460
MRS. BRENDA BEBEN RD
Dietitian, Registered
45 W 111TH ST
CHICAGO, IL 60628
Cook County (773) 995-3234
TIARA THOMPSON NURSE PRACTITIONER
Nurse Practitioner (Family)
45 W 111TH ST
CHICAGO, IL 60628
Cook County (773) 995-3000
DR. ALEXANDRA ISA ASROW M.D.
Emergency Medicine
45 W 111TH ST
CHICAGO, IL 60628
Cook County (773) 995-3000

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 Davonya Wilson's NPI number?

The NPI number for Davonya Wilson is 1548851470. It was assigned to this individual provider in the NPPES registry on February 2, 2021.

Where is Davonya Wilson located?

Davonya Wilson practices at 45 W 111th St, Chicago, IL 60628. The listed phone number is (773) 291-1929.

What is Davonya Wilson's specialty?

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

Is Davonya Wilson enrolled in Medicare?

Yes. Davonya Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Davonya Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Davonya Wilson reassigns Medicare benefits to Cook County (Blue Island, IL). The 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 Davonya Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Davonya Wilson accept?

Health plans from Oscar Health and UnitedHealthcare list Davonya 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 Davonya Wilson was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.