Miss Diedra Michelle Wilson, PMHNP-BC - Nurse Practitioner in Willoughby Hills, OH

Miss Diedra Michelle Wilson, PMHNP-BC is a Nurse Practitioner - Psychiatric/mental Health based in Willoughby Hills, Ohio. Miss Diedra Michelle Wilson is licensed to practice in Ohio (license number 0038687) and her current practice location is 38501 Mentor Ave Apt 250, Willoughby Hills, Ohio. She can be reached at her office (for appointments etc.) via phone at (216) 502-5313.

NPI number for Miss Diedra Michelle Wilson is 1538038682 and her current mailing address is 38501 Mentor Ave Apt 250, Willoughby Hills, Ohio. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538038682.

Contact Information

Miss Diedra Michelle Wilson, PMHNP-BC
38501 Mentor Ave Apt 250,
Willoughby Hills, OH 44094-7734
(216) 502-5313
Not Available

Map and Direction




Provider's Profile

Full NameMiss Diedra Michelle Wilson
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location38501 Mentor Ave Apt 250, Willoughby Hills, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1538038682
  • Provider Enumeration Date: 11/05/2025
  • Last Update Date: 11/05/2025

Medical Identifiers

Medical identifiers for Miss Diedra Michelle Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538038682NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 0038687 (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. Miss Diedra Michelle 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
Miss Diedra Michelle Wilson, PMHNP-BC
38501 Mentor Ave Apt 250,
Willoughby Hills, OH 44094-7734

Ph: (216) 502-5313
Miss Diedra Michelle Wilson, PMHNP-BC
38501 Mentor Ave Apt 250,
Willoughby Hills, OH 44094-7734

Ph: (216) 502-5313

Reviews and Comments


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Practice Location: 35040 Chardon Rd Ste G200, Willoughby Hills, OH 44094
Phone: 440-953-9014    

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.

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