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

Shaniqua Nicole Wilson

Individual provider Registered Nurse · NPI 1588150593

Shaniqua Nicole Wilson is a Nurse Practitioner in Poughkeepsie, New York. Qualified in 2018, 8 years ago. Practices with Premier Healthcare Inc, a 59-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

241 N Rd
Poughkeepsie, NY 12601-1154
Phone: (845) 483-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 707 E Main St, Middletown, NY 10940-2650 — (845) 333-2260

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 402439 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 636904 (NY)

Record details

NPI number1588150593
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 3, 2018
Last updated in NPPESMay 27, 2021
Certification dateMay 27, 2021

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)
Group practice Premier Healthcare Inc — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Poughkeepsie