Stephanie Nicole O'Halloran-Wilkerson, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2022008045 Issued in MO

Practice address

1675 E Seminole St
Springfield, MO 65804-2490

Phone

(417) 557-2355

Fax

(417) 530-1455

NPI assigned

Apr 20, 2022

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Paradigm Psych,LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Harrisonville, MO
  • NPI 1649104373
  Medicare reassignment NPD Authorized official
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  MO

  Medicare reassignment Care Compare group
• Ozarks Resource Group

  • Federally Qualified Health Center (FQHC)
  • Hermitage, MO
  • NPI 1639421050
  Medicare reassignment NPD
• Springfield Psychiatry & Addiction Medicine LLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Springfield, MO
  • NPI 1427733898
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  MO, Psychiatric/Mental Health

  Medicare reassignment NPD
• Ozarks Resource Group

  • Federally Qualified Health Center (FQHC)
  • Urbana, MO
  • NPI 1659942027
  NPD

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1811630494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S. LEXINGTON ST., SUITE 100",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042490",
            "telephone_number": "816-865-6400",
            "fax_number": "314-464-0387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 E SEMINOLE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042490",
            "telephone_number": "417-557-2355",
            "fax_number": "417-530-1455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 S Lexington St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Harrisonville",
            "state": "MO",
            "postal_code": "647012443",
            "country_code": "US",
            "telephone_number": "816-865-6400",
            "fax_number": "314-464-0387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'HALLORAN-WILKERSON",
        "first_name": "STEPHANIE",
        "middle_name": "NICOLE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-20",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2022008045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2022008045",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Bess O'Callaghan, RD
• Cortney Renee O'Daniel, MS, CCC-SLP
• Brittany Leeann O'Dell, M.S., CCC-SLP
• Emily O'Dell, M.S., CCC-SLP
• Kaylee O'Grady
• Haylee R O'Hara, PLMFT
• Gregory A O'Neal, CRNA
• Wade O'Neal Jr.
• Brandi Leigh O'Reilly, DPT
• Kelley E O'Reilly, D.O.

• Psychiatric/Mental Health Nurse Practitioner in Springfield, MO
• Providers in Springfield, MO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.