Individual provider Active NPI

Alicia N Wilson, CNP

  • Family Nurse Practitioner
  • Hillsboro, OH
National Provider Identifier
1760857098
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.18513-NP Issued in OH
Practice address
225 W Main St Unit B
Hillsboro, OH 45133
Phone
(937) 393-2411
Fax
(937) 393-3711
NPI assigned
Dec 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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 COA.18513-NP OH Primary

Addresses

Primary practice location

225 W Main St Unit B
Hillsboro, OH 45133

Mailing address

225 W Main St Unit B
Hillsboro, OH 45133
Phone (937) 393-2411

Other identifiers 1

IdentifierTypeStateIssuer
0153633MedicaidOH

Other names 1

  • Alicia N Lindsey Former name

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
I20160115001078 OH Practitioner - Nurse Practitioner 2668775156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

225 W Main St
Suite B
Hillsboro, OH 45133-1300
Phone (937) 393-2411

Hospital & facility affiliations

  • Adams County Homecare LLC Home health agency, Winchester, OH, CCN 367055
  • Special Touch Home Care LLC Home health agency, Manchester, OH, CCN 369123
  • Highland District Hospital Hospital, Hillsboro, OH, CCN 361332
  • Greenfield Area Medical Center Hospital, Greenfield, OH, CCN 361304
  • Bethesda North Hospital, Cincinnati, OH, CCN 360179
  • Adams County Regional Medical Center Hospital, Seaman, OH, CCN 361326

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.18513-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Joint Operating Company Past Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 6

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": "1449792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1760857098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 W MAIN ST UNIT B",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "45133",
            "telephone_number": "937-393-2411",
            "fax_number": "937-393-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W MAIN ST UNIT B",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "45133",
            "telephone_number": "937-393-2411",
            "fax_number": "937-393-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ALICIA",
        "middle_name": "N",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-11",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.18513-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0153633",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "LINDSEY",
            "middle_name": "N",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hillsboro, OH

Sources for this page

Verify at the official NPI Registry.