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

Kathy Lynn Wilson, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1750158507

Kathy Lynn Wilson, PMHNP is a Nurse Practitioner in Cape Girardeau, Missouri. Qualified in 2009, 17 years ago. Practices with Community Counseling Center, a 21-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
17
Licensed in
MO
In the registry since
2023
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

See every abbreviation used in this directory →

Practice location Address checks out

402 S Silver Springs Rd
Cape Girardeau, MO 63703-7536
Phone: (573) 334-1100
Fax: (573) 651-4345
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 2023047220 (MO)

Record details

NPI number1750158507
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedDecember 11, 2023
Last updated in NPPESSeptember 17, 2024
Certification dateSeptember 17, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Community Counseling Center — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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