Ms Dominique Renee Wilson, DNP, PMHNP, FNP in Portland, OR

Ms Dominique Renee Wilson, DNP, PMHNP, FNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Portland, Oregon. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 205 Se Spokane St Ste 300, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (855) 704-2004.

Ms Dominique Renee Wilson is licensed to practice in Oregon (license number 202100794NP) 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 1295019909.

Contact Information

	Ms Dominique Renee Wilson, DNP, PMHNP, FNP
	205 Se Spokane St Ste 300, Portland, OR 97202-6487
	(855) 704-2004
	(503) 386-3366

Map and Direction

Provider's Profile

Full Name	Ms Dominique Renee Wilson
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	205 Se Spokane St Ste 300, Portland, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Dominique Renee Wilson graduated from nursing school in 2018

NPI Data:

NPI Number: 1295019909
Provider Enumeration Date: 09/30/2011
Last Update Date: 05/01/2024

Medicare PECOS Information:

PECOS PAC ID: 9133380223
Enrollment ID: I20210422002882

Medical Identifiers

Medical identifiers for Ms Dominique Renee Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295019909	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP119115 (Texas)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP61131624 (Washington)	Secondary
363LF0000X	Nurse Practitioner - Family	202100794NPPP (Oregon)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP119115 (Texas)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	202100794NP (Oregon)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Dominique Renee Wilson allows following entities to bill medicare on her behalf.

Entity Name	Relief Mental Health Consultants Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538784004 PECOS PAC ID: 3274950191 Enrollment ID: O20210719003111

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. Ms Dominique Renee 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 Address	Practice Location Address
Ms Dominique Renee Wilson, DNP, PMHNP, FNP 205 Se Spokane St Ste 300, Portland, OR 97202-6487 Ph: (855) 704-2004	Ms Dominique Renee Wilson, DNP, PMHNP, FNP 205 Se Spokane St Ste 300, Portland, OR 97202-6487 Ph: (855) 704-2004

Reviews and Comments

Nurse Practitioner Nurses in Portland, OR

Mrs. Anjalee Nix Rowe, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-3988
Ms. Susan Irene Smith, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239 Phone: 971-202-5500 Fax: 971-202-5555
Iva Juric, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd # Cdw6, Portland, OR 97239 Phone: 503-494-4808
Ms. Jessica A Dudley, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3550 N Interstate Ave, Portland, OR 97227 Phone: 503-746-1575
Summer Morgan Massina, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 721 Nw 9th Ave Ste 100, Portland, OR 97209 Phone: 503-525-0090
Dr. Jeffery Wise, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1834 Nw 25th Ave Apt 504, Portland, OR 97210 Phone: 971-354-9242
A'lissa Richards, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12121 E Burnside St, Portland, OR 97216 Phone: 971-361-7700

Ms Dominique Renee Wilson, DNP, PMHNP, FNP - Medicare Nurse Practitioner in Portland, OR