Individual provider Active NPI

Sarah H Wilson, PA-C

  • Medical Physician Assistant
  • Cincinnati, OH
National Provider Identifier
1912370545
Registry record updated Jan 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
50005372RX Issued in OH
Practice address
4421 Eastgate Blvd Ste 300
Cincinnati, OH 45245-4501
Phone
(513) 752-8000
Fax
(513) 752-1078
NPI assigned
Nov 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2018

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 50005372RX OH Primary
Medical Physician Assistant 363AM0700X TC441 KY

Addresses

Primary practice location

4421 Eastgate Blvd Ste 300
Cincinnati, OH 45245-4501

Mailing address

800 Rose St
Mn602
Lexington, KY 40536-0294
Phone (859) 323-6047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151217002689 KY Practitioner - Physician Assistant 8426359308 Reassigns benefits to 1 organization
I20180117000254 OH Practitioner - Physician Assistant 8426359308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Physicians Cincinnati LLCGroup PAC ID 6709790892, 191 clinicians

Practice addresses (Care Compare)

2446 Kipling Ave
Cincinnati, OH 45239-6650
Phone (513) 583-8500

601 Ivy Gtwy
Cincinnati, OH 45245-1898
Phone (513) 233-6480

Hospital & facility affiliations

  • American Mercy Home Care, LLC Home health agency, Cincinnati, OH, CCN 367167
  • Mercy Health - West Hospital Hospital, Cincinnati, OH, CCN 360234
  • Mercy Health - Clermont Hospital Hospital, Batavia, OH, CCN 360236
  • Mercy Health-Anderson Hospital Hospital, Cincinnati, OH, CCN 360001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TC441KYMDMedical Physician Assistant
50005372RXOHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati LLC CurrentSince Feb 1, 2018 Accepting new patients
Mercy Health Physicians Cincinnati, LLC CurrentSince Feb 1, 2018 Accepting new patients
University of Kentucky CurrentSince Nov 14, 2015 Accepting new patients

Locations

800 Rose St
#602
Lexington, KY 40536
Phone (859) 303-6047

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

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

601 Ivy Gtwy
Ste 2100
Cincinnati, OH 45245
Phone (513) 216-1263

4421 Eastgate Blvd
Ste 300
Cincinnati, OH 45245
Phone (513) 752-8000

Interoperability endpoints

  • Direct secure messaging: swilson384379@direct.bsmhealth.org

Organizations & group practices 3

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 5

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": "1446595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515369600000",
    "number": "1912370545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROSE ST",
            "address_2": "MN602",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360294",
            "telephone_number": "859-323-6047",
            "fax_number": "859-257-3873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4421 EASTGATE BLVD STE 300",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452454501",
            "telephone_number": "513-752-8000",
            "fax_number": "513-752-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SARAH",
        "middle_name": "H",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-04",
        "last_updated": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50005372RX",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "TC441",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.