Individual provider Active NPI

Sarina Sue Wilson, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Stevensville, MT
National Provider Identifier
1386072932
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
128270 Issued in MT
Practice address
504 Main St
Stevensville, MT 59870-2836
Phone
(406) 641-2345
NPI assigned
Oct 17, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 128270 MT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NUR-APRN-LIC128270 MT
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 128270 MT Primary

Addresses

Primary practice location

504 Main St
Stevensville, MT 59870-2836

Mailing address

504 Main St
Stevensville, MT 59870-2836
Phone (406) 641-2345

Other practice location 1

1200 Westwood Dr
Hamilton, MT 59840-2345
Phone (406) 363-2211

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL SARINAWILSONMDMHCERNERDIRECTCOM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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

Enrollment IDStateProvider typePAC IDDetails
I20180223001154 MT Practitioner - Nurse Practitioner 8921236498 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2431 River Rd
Missoula, MT 59804-1239
Phone (406) 641-2345

504 Main St
Stevensville, MT 59870-2836
Phone (406) 641-2345

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
128270MTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wilson Integrated Psychiatry LLC Single Specialty CurrentSince Sep 1, 2023 Accepting new patients
Integrity Counseling Group, PLLC Single Specialty CurrentSince Feb 17, 2024 Accepting new patients
Marcus Daly Memorial Hospital Corporation Single Specialty Current Accepting new patients
Marcus Daly Memorial Hospital Corporation Single Specialty CurrentSince Jan 9, 2018 Accepting new patients

Locations

5501 US Highway 93 N
Ste 1
Florence, MT 59833
Phone (406) 239-3242

1224 W Main St
Hamilton, MT 59840
Phone (406) 375-4823

1200 Westwood Dr
Hamilton, MT 59840
Phone (406) 363-2211

2431 River Rd
Missoula, MT 59804
Phone (406) 361-5093

504 Main St
Stevensville, MT 59870
Phone (406) 396-6283

Interoperability endpoints

  • Direct secure messaging: sarinawilson@mdmh.cernerdirect.com

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1386072932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 MAIN ST",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "598702836",
            "telephone_number": "406-641-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 MAIN ST",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "598702836",
            "telephone_number": "406-641-2345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Westwood Dr",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "MT",
            "postal_code": "598402345",
            "country_code": "US",
            "telephone_number": "406-363-2211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SARINA",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-17",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MT",
            "license": "128270",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "NUR-APRN-LIC128270",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "128270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SARINAWILSONMDMHCERNERDIRECTCOM",
            "affiliation": "N",
            "address_1": "1200 Westwood Dr",
            "city": "Hamilton",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598402345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stevensville, MT

Sources for this page

Verify at the official NPI Registry.