DOMONIQUE S WILSON (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1124893151
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for DOMONIQUE S WILSON (PMHNP-BC)
230 N CRAIG ST STE B
PITTSBURGH, PA 152131569
Phone: (610) 892-3800
Type: Mailing
15613 Pineview Dr Ste C
East Liverpool, OH 439209096
Phone: (330) 932-1594
Type: Location
230 N Craig St Ste B
Pittsburgh, PA 152131569
Phone: (610) 892-3800
Type: Location
3000 PARK PLACE DR STE 108
WASHINGTON, PA 153012068
Phone: (724) 374-3468
Fax: (724) 258-8914
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 58 Open Payments records for all available years, with a total value of $846.
Total Amount is formed as General ($846) + Research ($0) + Ownership ($0) = $846.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($166).
Total Amount
$846
General + Research + Ownership
Payments
58
Total payment records
General Amount
$846
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Axsome Therapeutics, Inc. | $166 |
| ABBVIE INC. | $150 |
| Lundbeck LLC | $137 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $117 |
| Neurocrine BioSciences Inc. | $56 |
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: 2025-01-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240318002102 | I | Nurse Practitioner | OH | TBD |
| I20250108000356 | I | Nurse Practitioner | PA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 15213)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | PA | |
| Clinical Social Worker | PA | |
| P S Y C H I A T R Y | ONTARIO | |
| Physician Assistant | PA | |
| Nurse Practitioner | PA | |
| - | PA | |
| Mental Health Counselor | PA | |
| Nurse Practitioner | PA | |
| Physician Assistant | NY | |
| Mental Health Counselor | PA |
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