Angela Wilson, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

209032904 Issued in IL

Practice address

1701 W Garden St
Peoria, IL 61605-3531

Phone

(309) 680-7600

NPI assigned

Aug 6, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1754438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1386529865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 SUMMER ST",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615545643",
            "telephone_number": "309-453-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W GARDEN ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616053531",
            "telephone_number": "309-680-7600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2321 N Wisconsin Ave",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616035613",
            "country_code": "US",
            "telephone_number": "309-680-7600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ANGELA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-06",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209032904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer N Willman, CNP
• Delinda Demita Wills, MD
• Laura Wilshire, OD
• Wilson Eye Care Center LTD
• Laura L Wilson-Brown, P.A.
• Dani Wilson
• James P Wilson, OD
• Jared Neil Wilson, DO
• Matthew Todd Wilson, ACNS-BC, APN
• McKenzie Wilson, MA

• Psychiatric/Mental Health Registered Nurse in Peoria, IL
• Providers in Peoria, IL by specialty
• Psychiatric/Mental Health Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.