Individual provider Active NPI

Brandon Vermillion, APRN, FNP-C

  • Nurse Practitioner
  • Troy, OH
National Provider Identifier
1417775669
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0037600 Issued in OH
Practice address
2659 Walnut Ridge Dr
Troy, OH 45373-4554
Phone
(765) 278-8775
NPI assigned
Sep 27, 2024
Last updated
Sep 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.0037600 OH Primary

Addresses

Primary practice location

2659 Walnut Ridge Dr
Troy, OH 45373-4554

Mailing address

2659 Walnut Ridge Dr
Troy, OH 45373-4554
Phone (765) 278-8775

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241113004040 OH Practitioner - Nurse Practitioner 1951835966 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mvhe IncGroup PAC ID 9537066584, 399 clinicians
Premier Health Urgent Care, Inc.Group PAC ID 3870848088, 39 clinicians

Practice addresses (Care Compare)

2451 Wayne Ave
Dayton, OH 45420-1893
Phone (937) 252-1831

752 N Main St
Springboro, OH 45066-8944
Phone (937) 208-6865

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Urgent Care, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Mvhe Inc Nurse Practitioner CurrentSince Dec 1, 2024 Accepting new patients
Mvhe Inc CurrentSince Dec 1, 2024 Accepting new patients
Mvhe Inc Current Accepting new patients

Locations

722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

8 Prestige Plaza Dr
Ste 107
Miamisburg, OH 45342
Phone (937) 208-6871

752 N Main St
Springboro, OH 45066
Phone (937) 208-6865

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1417775669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2659 WALNUT RIDGE DR",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453734554",
            "telephone_number": "765-278-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2659 WALNUT RIDGE DR",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453734554",
            "telephone_number": "765-278-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMILLION",
        "first_name": "BRANDON",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0037600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, OH

Sources for this page

Verify at the official NPI Registry.