Sheresa Wilson, PA-C, LMHCA - Medicare Physician Assistant in Fort Wayne, IN

Sheresa Wilson, PA-C, LMHCA is a medicare enrolled "Physician Assistant" in Fort Wayne, Indiana. She graduated from nursing school in 2003 and has 23 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Community Health Center Of Branch County and her current practice location is 2710 Lake Ave, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 481-2700.

Sheresa Wilson is licensed to practice in Indiana (license number 10000892A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114001237.

Contact Information

Sheresa Wilson, PA-C, LMHCA
2710 Lake Ave,
Fort Wayne, IN 46805-5412
(260) 481-2700
(260) 969-8448

Map and Direction




Provider's Profile

Full NameSheresa Wilson
GenderFemale
SpecialityPhysician Assistant
Experience23 Years
Location2710 Lake Ave, Fort Wayne, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Sheresa Wilson graduated from nursing school in 2003
  NPI Data:
  • NPI Number: 1114001237
  • Provider Enumeration Date: 10/25/2006
  • Last Update Date: 01/13/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 4385748201
  • Enrollment ID: I20200110000834

Medical Identifiers

Medical identifiers for Sheresa Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114001237NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 10000892A (Indiana)Primary
101YM0800XCounselor - Mental Health 88001982A (Indiana)Secondary
363A00000XPhysician Assistant 5601005190 (Michigan)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Promedica Coldwater Regional HospitalColdwater, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Community Health Center Of Branch County933503751449

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. Sheresa Wilson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sheresa Wilson, PA-C, LMHCA
16311 Page Rd,
Grabill, IN 46741-9612

Ph: (260) 452-6700
Sheresa Wilson, PA-C, LMHCA
2710 Lake Ave,
Fort Wayne, IN 46805-5412

Ph: (260) 481-2700

Reviews and Comments


Physician Assistant Nurses in Fort Wayne, IN

Macy Marie Bradbury,
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Phone: 260-469-6610    Fax: 260-969-3065
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Phone: 260-458-3555    Fax: 260-458-3530
Ms. Debra Lammers, PA-C
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Ms. Kari M Rasmussen, PA-C
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Mr. Thomas G Edwards, PA-C
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Medicare: Medicare Enrolled
Practice Location: 2200 Randallia Dr, Fort Wayne, IN 46805
Phone: 260-373-4000    Fax: 260-482-4442

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.