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MRS. DOMONIQUE N WILSON FNP-BC
NPI 1942163654
Nurse Practitioner - Family in Crown Point, IN

Active since December 09, 2025PECOS Enrolled
10549 ONTARIO DR, CROWN POINT, IN 46307(928) 278-0027 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mrs. Domonique N Wilson Fnp-bc NPPES

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

MRS. DOMONIQUE N WILSON FNP-BC (NPI 1942163654) is an individual family provider in Crown Point, Indiana, licensed in Indiana (28261922A) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942163654
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. DOMONIQUE N WILSONCredential: FNP-BC
Location Address10549 ONTARIO DRCrown Point, IN 46307-9371
Mailing Address10549 Ontario DrCrown Point, IN 46307-9371
Phone(928) 278-0027
Sole ProprietorYes
Enumeration DateDecember 9, 2025
NPPES CertifiedDecember 9, 2025
✔ NPI 1942163654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 28261922A
10549 ONTARIO DR, Crown Point, IN 46307
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Domonique N Wilson Fnp-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46307 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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 Domonique Wilson's NPI number?

The NPI number for Domonique Wilson is 1942163654. It was assigned to this individual provider in the NPPES registry on December 9, 2025.

Where is Domonique Wilson located?

Domonique Wilson practices at 10549 Ontario Dr, Crown Point, IN 46307. The listed phone number is (928) 278-0027.

What is Domonique Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Domonique Wilson enrolled in Medicare?

Yes. Domonique Wilson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Domonique Wilson was last updated on December 9, 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.