Individual provider Active NPI

Lisa Darnell Wilson, FNP-C

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1487113312
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.024135 Issued in OH
Practice address
625 Eden Park Dr
Cincinnati, OH 45202-6005
Phone
(513) 246-9155
Fax
(513) 487-4331
NPI assigned
Mar 19, 2019
Last updated
Dec 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.024135 OH Primary

Addresses

Primary practice location

625 Eden Park Dr
Cincinnati, OH 45202-6005

Mailing address

625 Eden Park Dr
Cincinnati, OH 45202-6005
Phone (513) 246-9155

Other practice location 1

4850 Smith Rd Ste 100A
Cincinnati, OH 45212-2797
Phone (513) 841-0777

Other practice location 2

3705 Marburg Ave
Cincinnati, OH 45209-2314
Phone (513) 226-0546

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
I20200513003355 OH Practitioner - Nurse Practitioner 7911338645 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trihealth G LLCGroup PAC ID 0749222651, 294 clinicians

Practice addresses (Care Compare)

625 Eden Park Dr
Cincinnati, OH 45202-6005
Phone (513) 246-9155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G, LLC CurrentSince Dec 2, 2024 Accepting new patients
Trihealth G LLC CurrentSince Dec 2, 2024 Accepting new patients
Vpa PC Current Accepting new patients
Vpa PC CurrentSince Jun 1, 2020 Accepting new patients
Vpa PC Current Accepting new patients
Vpa PC CurrentSince Jun 1, 2020 Accepting new patients
Vpa PC Current Accepting new patients

Locations

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

4435 Aicholtz Rd
Ste 400
Cincinnati, OH 45245
Phone (513) 326-3007

4850 Smith Rd
Ste 100A
Cincinnati, OH 45212
Phone (513) 841-0777

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

355 E Campus View Blvd
Ste 180
Columbus, OH 43235
Phone (614) 523-2155

3500 Massillon Rd
Ste 280
Green, OH 44685
Phone (330) 896-5651

3033 Kettering Blvd
Ste 100
Moraine, OH 45439
Phone (937) 293-2133

Interoperability endpoints

  • Direct secure messaging: lwilson450720@direct.trihealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1487113312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 EDEN PARK DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452026005",
            "telephone_number": "513-246-9155",
            "fax_number": "513-487-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 EDEN PARK DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452026005",
            "telephone_number": "513-246-9155",
            "fax_number": "513-487-4331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4850 Smith Rd Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452122797",
            "country_code": "US",
            "telephone_number": "513-841-0777",
            "fax_number": "513-841-0877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3705 Marburg Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452092314",
            "country_code": "US",
            "telephone_number": "513-226-0546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LISA",
        "middle_name": "DARNELL",
        "name_prefix": "Dr.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.024135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.