Individual provider Active NPI

Michelle M Wilcox

  • Adult Health Nurse Practitioner
  • Hamilton, OH
National Provider Identifier
1689162075
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN.CNP.022365 Issued in OH
Practice address
210 S 2ND St
Hamilton, OH 45011-2811
Phone
(513) 454-1111
NPI assigned
May 1, 2018
Last updated
Jan 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN.CNP.022365 OH Primary

Addresses

Primary practice location

210 S 2ND St
Hamilton, OH 45011-2811

Mailing address

PO Box 837
Hamilton, OH 45012-0837
Phone (513) 454-1111

Other practice location 1

903 NW Washington Blvd Ste A
Hamilton, OH 45013-6367
Phone (513) 454-1111

Other practice location 2

1036 S Verity Pkwy
Middletown, OH 45044
Phone (513) 454-1111

Other practice location 3

10 N Locust St Ste A
Oxford, OH 45056
Phone (513) 454-1111

Other identifiers 1

IdentifierTypeStateIssuer
0302661MedicaidOH

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
I20181015002132 OH Practitioner - Nurse Practitioner 7416209770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

903 NW Washington Blvd
Suite a
Hamilton, OH 45013-6367
Phone (513) 454-1111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Butler County Community Health Consortium, Inc. CurrentSince Dec 6, 2022 Accepting new patients
Butler County Community Health Consortium Inc Current Accepting new patients
Butler County Community Health Consortium, Inc. CurrentSince Dec 6, 2022 Accepting new patients
Butler County Community Health Consortium Inc Past Accepting new patients
Butler County Community Health Consortium Inc Past Accepting new patients
Butler County Community Health Consortium, Inc. Past Accepting new patients

Locations

210 S 2nd St
Hamilton, OH 45011
Phone (513) 892-1888

903 NW Washington Blvd
Ste A
Hamilton, OH 45013
Phone (513) 737-6900

1036 S Verity Pkwy
Middletown, OH 45044
Phone (513) 217-8900

10 N Locust St
Ste A
Oxford, OH 45056
Phone 5134541111 ext. 41111

Interoperability endpoints

  • Direct secure messaging: michelle.wilcox.p5@direct.myprimaryhealth.nextgenshare.com

Organizations & group practices 6

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 2

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": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1689162075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 837",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450120837",
            "telephone_number": "513-454-1111",
            "fax_number": "513-385-9485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S 2ND ST",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450112811",
            "telephone_number": "513-454-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "903 NW Washington Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "OH",
            "postal_code": "450136367",
            "country_code": "US",
            "telephone_number": "513-454-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1036 S Verity Pkwy",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "OH",
            "postal_code": "45044",
            "country_code": "US",
            "telephone_number": "513-454-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 N Locust St Ste A",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "OH",
            "postal_code": "45056",
            "country_code": "US",
            "telephone_number": "513-454-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-01",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "APRN.CNP.022365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0302661",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.