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ANGELICA WILSON MSN, APRN, PMHNP-BC
NPI 1952297533
Nurse Practitioner - Psychiatric/Mental Health in Fort Wayne, IN

Active since June 17, 2025PECOS EnrolledAccepts Medicare Assignment
5743 WILKIE DR STE 3, FORT WAYNE, IN 46804(260) 200-4940(949) 404-6540 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 5, 2026, Sep 11, 2025, Jun 17, 2025 (3 updates tracked since 2025).

About Angelica Wilson Msn, Aprn, Pmhnp-bc NPPES

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

ANGELICA WILSON MSN, APRN, PMHNP-BC (NPI 1952297533) is an individual psychiatric/mental health provider in Fort Wayne, Indiana, licensed in Indiana (71017010A) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1952297533
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameANGELICA WILSONCredential: MSN, APRN, PMHNP-BC
Location Address5743 WILKIE DR STE 3Fort Wayne, IN 46804-8905
Mailing Address251 N Rose St Ste 200Kalamazoo, MI 49007-3874 · (269) 254-2826
Phone(260) 200-4940
Fax(949) 404-6540
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 17, 2025
Last NPPES UpdateJanuary 5, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2026
✔ NPI 1952297533 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 IN · 71017010A
5743 WILKIE DR STE 3, Fort Wayne, IN 46804
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Angelica Wilson Msn, 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 ID3274021399
PECOS Enrollment IDI20251021004096
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 Angelica Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shock Therapy Group LLC
Same address
Psychiatric/Mental Health
5743 WILKIE DR STE 3
Fort Wayne, IN 46804
  • Reassigned Medicare billing, Indiana enrollment
  • 4 clinicians in this Medicare group
NPI 1538869532 (260) 200-4940

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 46804 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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNA LIZABETH SHOCK MSN, APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
5743 WILKIE DR STE 3
FORT WAYNE, IN 46804
Allen County (260) 200-4940
SHOCK THERAPY GROUP LLC
Nurse Practitioner (Psychiatric/Mental Health)
5743 WILKIE DR STE 3
FORT WAYNE, IN 46804
Allen County (260) 200-4940

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 Angelica Wilson's NPI number?

The NPI number for Angelica Wilson is 1952297533. It was assigned to this individual provider in the NPPES registry on June 17, 2025.

Where is Angelica Wilson located?

Angelica Wilson practices at 5743 Wilkie Dr Ste 3, Fort Wayne, IN 46804. The listed phone number is (260) 200-4940.

What is Angelica Wilson's specialty?

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

Is Angelica Wilson enrolled in Medicare?

Yes. Angelica 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 Angelica Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angelica Wilson reassigns Medicare benefits to Shock Therapy Group LLC (Fort Wayne, IN). 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 Angelica Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Angelica Wilson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Angelica 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 Angelica Wilson was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.