Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Domonique S Wilson, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1124893151

Domonique S Wilson, PMHNP-BC is a Nurse Practitioner in Washington, Pennsylvania. Qualified in 2023, 3 years ago. Practices with Vital Healthcare Solutions, a 105-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Ohio and Pennsylvania.

Years since qualifying
3
Licensed in
OH, PA
In the registry since
2023
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

3000 Park Place Dr Ste 108
Washington, PA 15301-2068
Phone: (724) 374-3468
Fax: (724) 258-8914
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 15613 Pineview Dr Ste C, East Liverpool, OH 43920-9096 — (330) 932-1594
  • 230 N Craig St Ste B, Pittsburgh, PA 15213-1569 — (610) 892-3800

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence SP029678 (PA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence APRNCNP0035421 (OH)

Record details

NPI number1124893151
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedNovember 20, 2023
Last updated in NPPESJuly 25, 2025
Certification dateJuly 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Vital Healthcare Solutions — 105 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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