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

MS. Mary Deborah Wilson, PMHNP-BC

Individual provider Nurse Practitioner · NPI 1306051313

MS. Mary Deborah Wilson, PMHNP-BC is a Nurse Practitioner in Berlin, Maryland. Qualified in 2006, 20 years ago. Practices with Brightside Medical PC, a 280-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
20
Licensed in
MD
In the registry since
2007
Specialties on file
4
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

11022 Nicholas Ln Unit 2 Ste 1
Berlin, MD 21811-3353
Phone: (410) 641-5190
Fax: (410) 641-5463
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 R056757 (MD)
Nurse Practitioner Taxonomy 363L00000X · Licence R056757 (MD)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence R056757 (MD)
Adult Psychiatric/Mental Health Clinical Nurse Specialist Taxonomy 364SP0809X · Licence R056757 (MD)

Record details

NPI number1306051313
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedMay 12, 2007
Last updated in NPPESJune 12, 2020
Certification dateJune 12, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Brightside Medical Pc — 280 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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