Individual provider Active NPI

Brittany Ann Homan, PA

  • Physician Assistant
  • Coldwater, OH
National Provider Identifier
1982160065
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.005955RX Issued in OH
Practice address
800 W Main St
Coldwater, OH 45828-1613
Phone
(260) 344-4035
NPI assigned
Feb 14, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 8

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 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health Specialists Inc 576 clinicians

Practice addresses (Care Compare)

1 Wyoming St
Berry Women'S Center Labor and Delivery
Dayton, OH 45409-2939
Phone (937) 439-4381

2400 Miami Valley Dr
Centerville, OH 45459-4774

30 E Apple St
Dayton, OH 45409-2939

3130 N Count Rd
Troy, OH 45373-1337

450 N Hyatt St
Suite 304
Tipp City, OH 45371-1433
Phone (937) 832-4773

9000 N Main St
Englewood, OH 45415-1180
Phone (937) 734-6784

9000 N Main St
Englewood, OH 45415-1184

Hospital & facility affiliations

  • Upper Valley Medical Center Hospital, Troy, OH, CCN 360174
  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
  • Grand Lake Health System Hospital, Saint Marys, OH, CCN 360032

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
66.25
Promoting interoperability
100
Improvement activities
40
Cost
71.69

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
I20190430002914 OH Practitioner - Physician Assistant 3577805134 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Care Group, P.C. Physician Assistant Current Accepting new patients
Premier Health Specialists Inc CurrentSince Nov 7, 2022 Accepting new patients
Premier Health Specialists Inc CurrentSince Nov 7, 2022 Accepting new patients
Diagnostic Pathology, LLC Current Accepting new patients
Mercer County Joint Township Community Hospital CurrentSince Apr 1, 2019 Accepting new patients
Premier Heart Associates, Inc Past Accepting new patients

Locations

6435 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 436-7875

800 W Main St
Coldwater, OH 45828
Phone (419) 678-2341

30 E Apple St
Ste 5254
Dayton, OH 45409
Phone (844) 277-2894

9000 N Main St
Ste 238
Englewood, OH 45415
Phone (937) 832-0006

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

3130 N County Road 25A
Ste 114
Troy, OH 45373
Phone (937) 440-7665

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.005955RX OH Primary

Addresses

NPPES NPI Registry

Primary practice location

800 W Main St
Coldwater, OH 45828-1613

Mailing address

6435 W Jefferson Blvd PMB 109
Fort Wayne, IN 46804-6203
Phone (260) 344-4035

Other names 1

NPPES NPI Registry
  • Brittany Ann Sudhoff Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 1, 2019.

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1982160065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6435 W JEFFERSON BLVD PMB 109",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046203",
            "telephone_number": "260-344-4035",
            "fax_number": "260-969-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W MAIN ST",
            "city": "COLDWATER",
            "state": "OH",
            "postal_code": "458281613",
            "telephone_number": "260-344-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMAN",
        "first_name": "BRITTANY",
        "middle_name": "ANN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-14",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.005955RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "SUDHOFF",
            "middle_name": "ANN",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coldwater, OH

Sources for this page

Verify at the official NPI Registry.