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

MS. Dominique Renee Wilson, DNP, PMHNP, FNP

Individual provider Family Nurse Practitioner · NPI 1295019909

MS. Dominique Renee Wilson, DNP, PMHNP, FNP is a Nurse Practitioner in Portland, Oregon. Qualified in 2018, 8 years ago. Works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon, Texas and Washington.

Years since qualifying
8
Licensed in
OR, TX, WA
In the registry since
2011
Specialties on file
5
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

205 SE Spokane St Ste 300
Portland, OR 97202-6487
Phone: (855) 704-2004
Fax: (503) 386-3366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2000 E Lamar Blvd Ste 600, Arlington, TX 76006-7361 — (855) 704-2004
  • 401 Broadway Ste 100, Tacoma, WA 98402-3900 — (855) 704-2004

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 202100794NP (OR)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP119115 (TX)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence AP61131624 (WA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 202100794NPPP (OR)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence AP119115 (TX)

Record details

NPI number1295019909
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP , PMHNP , FNP
Sole proprietorNo
NPI enumeratedSeptember 30, 2011
Last updated in NPPESMay 1, 2024
Certification dateMay 1, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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