Individual provider Active NPI

Brittany L Wilson, PA

  • Medical Physician Assistant
  • Fairfield, OH
National Provider Identifier
1578871935
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
50.004924RX Issued in OH
Practice address
5372 Dixie Hwy
Fairfield, OH 45014
Phone
(513) 874-8111
Fax
(513) 860-6992
NPI assigned
Sep 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA1883 KY
Medical Physician Assistant 363AM0700X 50.004924RX OH Primary

Addresses

Primary practice location

5372 Dixie Hwy
Fairfield, OH 45014

Mailing address

2960 Mack Rd Ste 201
Fairfield, OH 45014-5300
Phone (513) 874-8111

Other practice location 1

5555 Glenway Ave
Cincinnati, OH 45238-3445
Phone (513) 952-9530

Other practice location 2

4450 Eastgate Blvd
Cincinnati, OH 45245-1591
Phone (513) 752-9610

Other names 1

  • Brittany L Green Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140520000395 KY Practitioner - Physician Assistant 0547483513 Reassigns benefits to 1 organization
I20170130002505 OH Practitioner - Physician Assistant 0547483513 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.004924RXOHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati, LLC CurrentSince Oct 1, 2018 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Cincinnati LLC CurrentSince Oct 1, 2018 Accepting new patients
Mercy Health Urgent Care LLC Past Accepting new patients
The Ophthalmology Group, LLC PastSince Aug 1, 2016 Accepting new patients
Columbus Radiology Corp Past Accepting new patients

Locations

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

2960 Mack Rd
Ste 201
Fairfield, OH 45014
Phone (513) 829-1700

5372 Dixie Hwy
Fairfield, OH 45014
Phone (513) 874-8111

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

12029 Sheraton Ln
Springdale, OH 45246
Phone (513) 874-8111

Interoperability endpoints

  • Direct secure messaging: bwilson510280@direct.bsmhealth.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1578871935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 MACK RD STE 201",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145300",
            "telephone_number": "513-874-8111",
            "fax_number": "513-860-6992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5372 DIXIE HWY",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "45014",
            "telephone_number": "513-874-8111",
            "fax_number": "513-860-6992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5555 Glenway Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452383445",
            "country_code": "US",
            "telephone_number": "513-952-9530",
            "fax_number": "513-952-5931",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4450 Eastgate Blvd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452451591",
            "country_code": "US",
            "telephone_number": "513-752-9610",
            "fax_number": "513-732-8734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "BRITTANY",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-20",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA1883",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.004924RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "GREEN",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fairfield, OH

Sources for this page

Verify at the official NPI Registry.