Diana L. Wilcox, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP05021 Issued in OH

Practice address

9765 E Prospect Rd
Hillsboro, OH 45133-9084

Phone

(937) 393-2593

Fax

(937) 393-8253

NPI assigned

Apr 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Peyton Care Professionals, LLC

  • Family Medicine Physician
  • Maumee, OH
  • NPI 1114289626
  Medicare reassignment NPD
• Prospect Road Family Practice

  • Family Medicine Physician
  • Hillsboro, OH
  • NPI 1336319060
  NPD (past)

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462233600000",
    "number": "1881810489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9765 E PROSPECT RD",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451339084",
            "telephone_number": "937-393-2593",
            "fax_number": "937-393-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9765 E PROSPECT RD",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451339084",
            "telephone_number": "937-393-2593",
            "fax_number": "937-393-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "DIANA",
        "middle_name": "L.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2016-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP05021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0103000",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Wetherington, M.D.
• Clinton Michael Wharton
• Mary Michelle Whited
• Sarah Elizabeth Wiget
• Kristine Wigginton
• Sara Wilkin, STNA
• Amy Haban Williams, RPH
• Mary L Williams
• Ralph E Williams, O.D.
• Tara Williamson

• Family Nurse Practitioner in Hillsboro, OH
• Providers in Hillsboro, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.