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Active NPI 1114001237 Individual Practitioner Female Practitioner

Sheresa Wilson , PA-C, LMHCA

Physician Assistant • Fort Wayne, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Sheresa Wilson, PA-C, LMHCA is a certified Physician Assistant practicing in Fort Wayne, IN. With approximately 14 years of clinical experience since completing medical education in 2012, Sheresa Wilson delivers high-quality medical care to the local community at 2710 LAKE AVE.

Sheresa Wilson is affiliated with Community Health Center Of Branch County and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2710 Lake Ave

Fort Wayne, IN 468055412

Telephone 2604812700
Fax 2609698448
Associated Practice Facility / Clinic
🏢 Park Center Inc Facility NPI 1306897004

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fort Wayne, IN

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs +3.6 yrs vs City Avg
City Avg: 10.4 Yrs
State Avg: 9.4 Yrs
Regional Practice Density
315 Specialists

Practicing in Fort Wayne, IN (2429 Statewide)

Telehealth Adoption Rate
7.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wilson (14 Years) 14 Yrs
Fort Wayne Specialty Average (10.4 Years) 10.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-01-13
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IN 10000892A

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License IN 88001982A

Definition to come...

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License MI 5601005190

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Community Health Center Of Branch County

274 E Chicago St, Coldwater, MI 490362041

Phone: 5172795400

Secondary Practice Locations

1720 Beacon St

Fort Wayne, IN 468054749

Phone: 2603738000

419 Airport North Office Park

Fort Wayne, IN 468256704

Phone: 2602675185

370 E Chicago St Ste 200

Coldwater, MI 490362062

Phone: 5172795378

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003121104
Jennifer Perry , MS

Counselor - Mental Health

NPI 1003236613

Master of Science

Dr. Michelle Wiese , MD

Psychiatry & Neurology - Psychiatry

NPI 1003348343

Doctor of Medicine (M.D.)

NPI 1003459561

APRNCNM, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Tina Saylor , LPN

Licensed Practical Nurse

NPI 1013190578

Licensed Practical Nurse

Julie Winn , BS

Case Manager/Care Coordinator

NPI 1013281245

Bachelor of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location January 13, 2026

Registered at 2710 LAKE AVE, FORT WAYNE, IN 468055412 (Tel: 2604812700)

📍
Updated Practice Location April 26, 2024

Registered at 370 E CHICAGO ST STE 200, COLDWATER, MI 490362062 (Tel: 5172795378)

👤
Provider Name / Credentials Updated April 26, 2024

Recorded as SHERESA WILSON, PA-C, LMHCA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2024

Physician Assistant (License #10000892A in IN)

📍
Updated Practice Location December 28, 2021

Registered at 300 E CHICAGO ST STE 200, COLDWATER, MI 490361688 (Tel: 5172795378)

📍
Updated Business Mailing Address December 28, 2021

Registered at 16311 PAGE RD, GRABILL, IN 467419612 (Tel: 2604526700)

👤
Provider Name / Credentials Updated December 28, 2021

Recorded as SHERESA WILSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2021

Physician Assistant (License #5601005190 in MI)

NPI Profile Active March 07, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location March 07, 2008

Registered at 292 E CHICAGO ST, COLDWATER, MI 490362041 (Tel: 5172795378)

📍
Updated Business Mailing Address March 07, 2008

Registered at 6270 COUNTY ROAD 427, AUBURN, IN 467069515 (Tel: 2604526700)

👤
Provider Name / Credentials Updated March 07, 2008

Recorded as SHERESA WILSON-DEVRIES, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2008

Physician Assistant (License #5601005190 in MI)

🟢
Initial NPI Registration & Enumeration October 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114001237
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 25, 2006
Last Update: January 13, 2026
Sole Proprietor: No

Mailing Address

16311 Page Rd

Grabill, IN 467419612

Phone: 2604526700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.