Doctor profile · Federal record
Dr. Dominique Wilson, DNP, PMHNP, FNP
Psychiatric/Mental Health Nurse Practitioner (CMS: Nurse Practitioner) · Family Nurse Practitioner · Psychiatric/Mental Health Nurse Practitioner · Family Nurse Practitioner · Psychiatric/Mental Health Nurse Practitioner · Portland, OR
- NPI 1295019909
- Accepts Medicare
- 8 yrs in practice
- Licensed in 3 states
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
205 Se Spokane St Ste 300
Portland, OR 972026487
(855) 704-2004
fax (503) 386-3366 - Additional location
-
401 Broadway Ste 100
Tacoma, WA 984023900 - Additional location
-
2000 E LaMar Blvd Ste 600
Arlington, TX 760067361
Credentials & registration
- NPI registered
- September 2011 — 15 yrs on file
- Profile last updated
- May 1, 2024
- Year of graduation
- 2018 — 8 yrs since
- Specialty taxonomy
- 363LP0808X — NUCC code
- State licenses (4)
- Oregon #202100794NP · Texas #AP119115 · Washington #AP61131624 · Oregon #202100794NPPP
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1295019909. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
172
Distinct HCPCS
2
Medicare allowed
$11,899
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
90833 |
Psychotherapy with evaluation and management visit, 30 minutes | 87 | 13 | $53 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 85 | 12 | $86 |
In context: peer comparison
Among 32 peers in this city , average services per provider: 66. This provider delivers 2.6× the peer median.Open Payments
Industry payments received
All-time total
$60
Transactions
3
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Janssen Pharmaceuticals, Inc | 1 | $21.96 | |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | 1 | $21.23 | |
| Alkermes, Inc. | 1 | $16.38 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
255
Patients
0
Total drug cost
$27,724
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Clonazepam | Generic | 43 | 0 | $629 |
| Duloxetine Hcl | Generic | 40 | 0 | $903 |
| Gabapentin | Generic | 24 | 0 | $403 |
| Paliperidone Er (Paliperidone) | Brand | 20 | 0 | $3,353 |
| Lithium Carbonate Er (Lithium Carbonate) | Brand | 17 | 0 | $338 |
| Alprazolam | Generic | 16 | 0 | $127 |
| Doxepin Hcl | Generic | 15 | 0 | $609 |
| Hydroxyzine Pamoate | Generic | 15 | 0 | $260 |
| Methylphenidate Hcl | Generic | 14 | 0 | $274 |
| Baclofen | Generic | 13 | 0 | $59 |
Frequently asked questions
What is Dr. Dominique Wilson's medical specialty?
Dr. Dominique Wilson practices Psychiatric/Mental Health Nurse Practitioner in Portland, OR.
Where does Dr. Dominique Wilson practice?
Dr. Dominique Wilson practices at 205 Se Spokane St Ste 300, Portland, OR 972026487. Office phone: 8557042004.
What is Dr. Dominique Wilson's NPI?
Dr. Dominique Wilson's National Provider Identifier (NPI) is 1295019909, issued by NPPES.
Does Dr. Dominique Wilson accept Medicare assignment?
Yes. Dr. Dominique Wilson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Dominique Wilson commonly perform?
Top Medicare-reported procedures in 2023: Psychotherapy with evaluation and management visit (HCPCS 90833); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.