SHANIQUA NICOLE WILSON
NPI 1588150593
Nurse Practitioner - Psychiatric/Mental Health in Poughkeepsie, NY

Active since July 03, 2018PECOS EnrolledAccepts Medicare Assignment
241 NORTH RD, POUGHKEEPSIE, NY 12601(845) 483-5000 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 27, 2021, Sep 22, 2020, Oct 8, 2019 and 1 more (4 updates tracked since 2018).

About Shaniqua Nicole Wilson NPPES

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

SHANIQUA NICOLE WILSON (NPI 1588150593) is an individual psychiatric/mental health provider in Poughkeepsie, New York, licensed in New York (402439) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1588150593
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHANIQUA NICOLE WILSON
Location Address241 NORTH RDPoughkeepsie, NY 12601-1154
Mailing Address19 Bradhurst Ave Ste 3100nHawthorne, NY 10532-2140 · (914) 909-9018 · Fax (914) 909-9028
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 3, 2018
Last NPPES UpdateMay 27, 20214 updates tracked since enumeration
NPPES CertifiedMay 27, 2021
NPI 1588150593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NY · 402439
Also ListedRegistered NurseTaxonomy 163W00000X · License 636904 (NY)
241 NORTH RD, Poughkeepsie, NY 12601

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shaniqua Nicole Wilson 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 ID9830427947
PECOS Enrollment IDI20190828001382
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
208 services60 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12601 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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.

Pathology (Anatomic Pathology & Clinical Pathology)
241 NORTH RD
POUGHKEEPSIE, NY 12601
Hospitalist
241 NORTH RD
POUGHKEEPSIE, NY 12601
Pediatrics
241 NORTH RD
POUGHKEEPSIE, NY 12601
Surgery (Vascular Surgery)
241 NORTH RD
POUGHKEEPSIE, NY 12601
Home Health Aide
241 NORTH RD
POUGHKEEPSIE, NY 12601
Family Medicine
241 NORTH RD
POUGHKEEPSIE, NY 12601
Nursing Care
241 NORTH RD
POUGHKEEPSIE, NY 12601
Durable Medical Equipment & Medical Supplies
241 NORTH RD
POUGHKEEPSIE, NY 12601

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 Shaniqua Wilson's NPI number?

The NPI number for Shaniqua Wilson is 1588150593. It was assigned to this individual provider in the NPPES registry on July 3, 2018.

Where is Shaniqua Wilson located?

Shaniqua Wilson practices at 241 North Rd, Poughkeepsie, NY 12601. The listed phone number is (845) 483-5000.

What is Shaniqua Wilson's specialty?

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

Is Shaniqua Wilson enrolled in Medicare?

Yes. Shaniqua 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.

When was this NPI record last updated?

The NPPES record for Shaniqua Wilson was last updated on May 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.