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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHERESA WILSON, PA-C, LMHCA

Active

SHERESA WILSON, PA-C, LMHCA is a Physician Assistant healthcare provider located in FORT WAYNE, Indiana. NPI 1114001237 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · FORT WAYNE, IN

Registration Details

NPI Number
1114001237
Provider Type
Individual
Gender
Female
NPI Issued
Oct 25, 2006 (19.794876472742 yrs)
Last Updated
Jan 13, 2026
Licenses
10000892A (IN)
88001982A (IN)
5601005190 (MI)

Practice Information

Address
2710 LAKE AVE
FORT WAYNE, IN, 468055412
Browse IN providers · Browse ZIP 46805
Phone
2604812700
Fax
2609698448
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Mental Health Counselor
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in FORT WAYNE, IN

Name Credential NPI
BRIAN T LAURSEN P.A. 1164425187
GRETCHEN L CRAMPTON P.A. 1275536211
DEBORAH S CASTILE P.A. 1699778753
MR. CHRISTOPHER A FEGLEY PA 1003814476
DARLENE K HOOVER PA-C 1184625527
JENNIFER R. HOCKEMEYER PA 1376545111
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.