Brenda Lynne Wilson, RN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

209032497 Issued in IL

Practice address

119 Gas Plant Rd
Du Quoin, IL 62832-3866

Phone

(618) 790-2146

Fax

(618) 790-2147

NPI assigned

Mar 18, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Christopher Greater Area Rural Health Planning Corporation

  • Federally Qualified Health Center (FQHC)
  • Christopher, IL
  • NPI 1639159213
  Medicare reassignment NPD
• Christopher Greater Area Rural Health Planning Corporation

  dba Mt. Vernon Health & Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Mount Vernon, IL
  • NPI 1083592604
  NPD
• Christopher Greater Area Rural Health Planning Corporation

  dba Benton Mental Health Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Benton, IL
  • NPI 1447080205
  NPD
• Christopher Greater Area Rural Health Planning Corporation

  • Federally Qualified Health Center (FQHC)
  • Du Quoin, IL
  • NPI 1154078673
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1376343434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 155",
            "city": "CHRISTOPHER",
            "state": "IL",
            "postal_code": "628220155",
            "telephone_number": "618-724-2401",
            "fax_number": "618-724-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 GAS PLANT RD",
            "city": "DU QUOIN",
            "state": "IL",
            "postal_code": "628323866",
            "telephone_number": "618-790-2146",
            "fax_number": "618-790-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "BRENDA",
        "middle_name": "LYNNE",
        "credential": "RN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-18",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209032497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Warren
• Ron Weeks, RN
• Richard Louis Weinberg, D.M.D.
• Karla Kay Whited, MOA
• Analiese Wilmsmeyer, PA-S
• David F Woods, HIS
• Bruce T Wreath, CRNA
• Nicole M Wynn
• Saeed Zamir, M.D.
• Zimmerman Chiropractic Clinic PC

• Psychiatric/Mental Health Nurse Practitioner in Du Quoin, IL
• Providers in Du Quoin, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.