Individual provider Active NPI

Brooke Elise Wilson, FNP

  • Family Nurse Practitioner
  • Springfield, OH
National Provider Identifier
1770133613
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.025179 Issued in OH
Practice address
362 S Burnett Rd
Springfield, OH 45505-2604
Phone
(937) 525-2470
Fax
(937) 525-2432
NPI assigned
Sep 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.025179 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.025179 OH Primary

Addresses

Primary practice location

362 S Burnett Rd
Springfield, OH 45505-2604

Mailing address

362 S Burnett Rd
Springfield, OH 45505-2604
Phone (937) 525-2470

Other practice location 1

1430 E US Highway 36 Ste B
Urbana, OH 43078-9112
Phone (937) 652-4969

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200609001982 OH Practitioner - Family Practice 7214358787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Springfield Specialty Care LLCGroup PAC ID 4284059981, 129 clinicians

Practice addresses (Care Compare)

1430 E US Hwy 36
Suite B
Urbana, OH 43078-9112
Phone (937) 652-4969

Hospital & facility affiliations

  • Community Mercy Home Care, LLC Home health agency, Springfield, OH, CCN 367447
  • Springfield Regional Medical Center Hospital, Springfield, OH, CCN 360086
  • Mercy Health - Urbana Hospital Hospital, Urbana, OH, CCN 361312

Merit-based Incentive Payment System (MIPS)

Final score
12.98 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
43.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue602
Removal of skin lesions1-10
Removal of nail tissue27
Removal or shaving of skin growth17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.025179OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Springfield Specialty Care LLC Nurse Practitioner CurrentSince Apr 27, 2025 Accepting new patients

Locations

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

362 S Burnett Rd
Springfield, OH 45505
Phone (937) 206-7922

1430 E US Highway 36
#B
Urbana, OH 43078
Phone (937) 652-4969

900 Scioto St
Ste 1
Urbana, OH 43078
Phone (937) 653-4666

Interoperability endpoints

  • Direct secure messaging: bwilson2810139@direct.bsmhealth.org

Organizations & group practices 1

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 4

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": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1770133613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 S BURNETT RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455052604",
            "telephone_number": "937-525-2470",
            "fax_number": "937-525-2432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 S BURNETT RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455052604",
            "telephone_number": "937-525-2470",
            "fax_number": "937-525-2432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1430 E US Highway 36 Ste B",
            "address_purpose": "LOCATION",
            "city": "Urbana",
            "state": "OH",
            "postal_code": "430789112",
            "country_code": "US",
            "telephone_number": "937-652-4969",
            "fax_number": "937-652-4970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "BROOKE",
        "middle_name": "ELISE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.025179",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.025179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.