Mitchell Wilson, CNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

APRN.CNP.0037106 Issued in OH

Practice address

5885 Harrison Ave Ste 3500
Cincinnati, OH 45248-1739

Phone

(513) 922-9660

Fax

(513) 347-2347

NPI assigned

Jul 22, 2024

Sex

Male

Sole proprietor

No

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 OH

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Christ Hospital Medical Associates, LLCGroup PAC ID 0244314102, 270 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christ Hospital Hospital, Cincinnati, OH, CCN 360163

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

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.

• The Christ Hospital Medical Associates, LLC

  • Internal Medicine Physician
  • Cincinnati, OH
  • NPI 1114107919
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christ Hospital

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1780633289
  Care Compare affiliation

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1154159341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5885 HARRISON AVE STE 3500",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452481739",
            "telephone_number": "513-922-9660",
            "fax_number": "513-347-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5885 HARRISON AVE STE 3500",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452481739",
            "telephone_number": "513-922-9660",
            "fax_number": "513-347-2347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MITCHELL",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "APRN.CNP.0037106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0059662",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meco Wilson
• Melinda Kay Wilson, MD
• Melissa Wilson
• Michael S Wilson II, MD
• Michelle M Wilson, AIDE
• Monique Wilson, APRN-CNS
• Morgan Wilson
• Nedra Wilson
• Nyaira Wilson
• Paisley Marie Wilson

• Adult Health Nurse Practitioner in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Adult Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.