Question 1

What type of a medical provider is Domonique Shantel Wilson?

Accepted Answer

Domonique Shantel Wilson is a Nurse Practitioner (Psych/Mental Health).

Question 2

Where does Domonique Shantel Wilson practice medicine?

Accepted Answer

Domonique Shantel Wilson has the following practice address:15613 PINEVIEW DR STE C, EAST LIVERPOOL, OH 43920-9096

Question 3

Does this provider have a license number?

Accepted Answer

Domonique Shantel Wilson has the following license number: License Number APRNCNP0035421 issued in Ohio.

Question 4

Does Domonique Shantel Wilson accept Medicare?

Accepted Answer

We do not know if this provider accepts the Medicare-approved amount.

Question 5

Does Domonique Shantel Wilson have any board certifications?

Accepted Answer

The provider does not have any board certifications.

Question 6

Is Domonique Shantel Wilson a member of any Medical Groups?

Accepted Answer

Domonique Shantel Wilson is not affiliated with any medical groups.

Question 7

Does Domonique Shantel Wilson participate in PECOS?

Accepted Answer

Yes, Domonique Shantel Wilson participates in PECOS.

Question 8

What phone number can I call to contact Domonique Shantel Wilson?

Accepted Answer

You can call the following number: (330)-932-1594

Question 9

Are there any exclusions against this provider?

Accepted Answer

We have not detected any Exclusions tied directly to Domonique Shantel Wilson.

Question 10

Is Domonique Shantel Wilson  affiliated with any hospitals?

Accepted Answer

The provider is not affiliated with any hospitals.

Question 11

When was this information last updated?

Accepted Answer

The CMS-based NPPES information was updated approximately 2 years ago (11/20/2023).

Participates in PECOS:	YES
PECOS Individual Enrollment ID:
PECOS Individual PAC ID:
Eligible to order/refer Part B Clinical Laboratory and Imaging	Yes
Eligible to order/refer Durable Medical Equipment (DME)	Yes
Eligible to order/refer Home Health Agency (HHA)	Yes
Eligible to order/refer Power Mobility Devices (PMD)	Yes

Domonique Shantel Wilson

Overview