MRS. DIANA LEE WILSON (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1508137894

MRS. DIANA LEE WILSON (PMHNP-BC) is a healthcare provider. based in Sault sainte marie, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 4704195098 (MI). The NPI Number for MRS. DIANA LEE WILSON (PMHNP-BC) is 1508137894

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MRS. DIANA LEE WILSON (PMHNP-BC)
NPI
1508137894
Phone
(906) 635-2969
Address
550 OSBORN BLVD STE 1006
Enumeration Date
19 January 2012
Last Update Date
12 May 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9062530108
Graduation Year
2012 (14 years ago)
PAC ID
1052577012
Group Practice PAC ID
7315936481
Professional Enrollment ID
I20120719000623
Address ID
MI497881592KI16523DRXX500
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for MRS. DIANA LEE WILSON (PMHNP-BC)

  • 550 OSBORN BLVD STE 1006

    SAULT SAINTE MARIE, MI 497831899

    Phone: (906) 635-2969

    Fax: (906) 635-3114

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $46.

Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($23).

Total Amount

$46

General + Research + Ownership

Payments

2

Total payment records

General Amount

$46

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-07-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120719000623INurse PractitionerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4518$0
99214Established patient office or other outpatient visit, 30-39 minutes3419$0
99213Established patient office or other outpatient visit, 20-29 minutes3217$0
View full utilization report →

Insurance plans in this area (ZIP 49783)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315936481View full group profile
NameSpecialtyState
Physician AssistantIN
Physician AssistantMI
Physician AssistantMI
D E R M A T O L O G YMI
Pain ManagementIL
-MI
E N D O C R I N O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Hospitalist, Internal MedicineMI
-MI

Reviews

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Frequently asked questions

Can I cross-check MRS. DIANA LEE WILSON (PMHNP-BC) using NPI 1508137894?
NPI 1508137894 belongs to MRS. DIANA LEE WILSON (PMHNP-BC); compare other details if you need extra assurance.
Active or inactive — what applies to MRS. DIANA LEE WILSON (PMHNP-BC)?
You should see MRS. DIANA LEE WILSON (PMHNP-BC) as active in CMS-hosted NPPES data.
What clinical focus is listed for MRS. DIANA LEE WILSON (PMHNP-BC)?
At a glance, MRS. DIANA LEE WILSON (PMHNP-BC) is tied to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Michigan is MRS. DIANA LEE WILSON (PMHNP-BC) registered?
Use Sault Sainte Marie, Michigan as the headline location for MRS. DIANA LEE WILSON (PMHNP-BC) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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