Domonique Shantel Wilson, PMHNP-BC - Nurse Practitioner in East Liverpool, OH

Domonique Shantel Wilson, PMHNP-BC is a Nurse Practitioner - Psychiatric/mental Health based in East Liverpool, Ohio. Domonique Shantel Wilson is licensed to practice in Ohio (license number APRNCNP0035421) and her current practice location is 15613 Pineview Dr Ste C, East Liverpool, Ohio. She can be reached at her office (for appointments etc.) via phone at (330) 932-1594.

NPI number for Domonique Shantel Wilson is 1124893151 and her current mailing address is 1132 Pennsbury Blvd, Pittsburgh, Pennsylvania. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124893151.

Contact Information

Domonique Shantel Wilson, PMHNP-BC
15613 Pineview Dr Ste C,
East Liverpool, OH 43920-9096
(330) 932-1594
Not Available

Map and Direction




Provider's Profile

Full NameDomonique Shantel Wilson
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location15613 Pineview Dr Ste C, East Liverpool, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124893151
  • Provider Enumeration Date: 11/20/2023
  • Last Update Date: 11/20/2023

Medical Identifiers

Medical identifiers for Domonique Shantel Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124893151NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health APRNCNP0035421 (Ohio)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Domonique Shantel Wilson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Domonique Shantel Wilson, PMHNP-BC
1132 Pennsbury Blvd,
Pittsburgh, PA 15205-1610

Ph: (412) 251-6004
Domonique Shantel Wilson, PMHNP-BC
15613 Pineview Dr Ste C,
East Liverpool, OH 43920-9096

Ph: (330) 932-1594

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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