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

MS. Stephanie J. Wilson, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1336687144

MS. Stephanie J. Wilson, PMHNP is a Nurse Practitioner in Chicago, Illinois. Qualified in 2022, 4 years ago. Practices with Brightside Medical PA, a 95-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona, Illinois, Indiana and New Jersey and 2 more.

Years since qualifying
4
Licensed in
AZ, IL, IN, NJ, NY, WA
In the registry since
2017
Specialties on file
8
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

641 W 63rd St
Chicago, IL 60621-2032
Phone: (773) 580-5190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1801 N Mill St Ste L, Naperville, IL 60563-4869 — (773) 580-5190

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 377002534 (IL)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence APTP.N3.70119065 (WA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 404928 (NY)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 277002629 (IL)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 26NJ01480900 (NJ)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 71016307A (IN)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 328406 (AZ)
Registered Nurse Taxonomy 163W00000X · Licence 041.391640 (IL)

Record details

NPI number1336687144
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorYes
NPI enumeratedFebruary 1, 2017
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Brightside Medical Pa — 95 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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