MICHELLE M WILCOX
NPI 1689162075
Nurse Practitioner - Adult Health in Hamilton, OH

Active since May 01, 2018PECOS EnrolledAccepts Medicare Assignment
58.24/100
CMS Quality Rating
210 S 2ND ST, HAMILTON, OH 45011(513) 454-1111 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 10, 2025, Dec 13, 2022, Nov 30, 2022 and 3 more (6 updates tracked since 2018).

About Michelle M Wilcox NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE M WILCOX (NPI 1689162075) is an individual adult health provider in Hamilton, Ohio, licensed in Ohio (APRN.CNP.022365) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Fort Hamilton Hughes Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1689162075
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMICHELLE M WILCOX
Location Address210 S 2ND STHamilton, OH 45011-2811
Mailing AddressPo Box 837Hamilton, OH 45012-0837 · (513) 454-1111 · Fax (513) 385-9485
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 1, 2018
Last NPPES UpdateJanuary 10, 20256 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2025
NPI 1689162075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in OH · APRN.CNP.022365
210 S 2ND ST, Hamilton, OH 45011

Secondary Practice Locations 3

Location 1903 NW Washington Blvd Ste AHamilton, OH 45013-6367 · Phone (513) 454-1111
Location 210 N Locust St Ste AOxford, OH 45056 · Phone (513) 454-1111
Location 31036 S Verity PkwyMiddletown, OH 45044 · Phone (513) 454-1111

Other Identifiers 1

Medicaid0302661OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Michelle M Wilcox is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416209770
PECOS Enrollment IDI20181015002132
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
24 services17 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Fort Hamilton Hughes Memorial Hospital

Acute Care Hospitals · Hamilton, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360132
Location630 Eaton AvenueHamilton, OH 45013 · Butler County
Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45011 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

58.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality10.06
Promoting Interoperability100
Improvement Activities20
Cost75.76

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
210 S 2ND ST
HAMILTON, OH 45011
Dentist (Dental Public Health)
210 S 2ND ST
HAMILTON, OH 45011
Nurse Practitioner (Family)
210 S 2ND ST
HAMILTON, OH 45011
Registered Nurse (Community Health)
210 S 2ND ST
HAMILTON, OH 45011
Social Worker (Clinical)
210 S 2ND ST
HAMILTON, OH 45011
Nurse Practitioner
210 S 2ND ST
HAMILTON, OH 45011
Nurse Practitioner (Family)
210 S 2ND ST
HAMILTON, OH 45011
Clinic/Center (Federally Qualified Health Center (FQHC))
210 S 2ND ST
HAMILTON, OH 45011

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Wilcox's NPI number?

The NPI number for Michelle Wilcox is 1689162075. It was assigned to this individual provider in the NPPES registry on May 1, 2018.

Where is Michelle Wilcox located?

Michelle Wilcox practices at 210 S 2nd St, Hamilton, OH 45011. The listed phone number is (513) 454-1111.

What is Michelle Wilcox's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Michelle Wilcox enrolled in Medicare?

Yes. Michelle Wilcox is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michelle Wilcox accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 3 other insurers list Michelle Wilcox as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michelle Wilcox affiliated with any hospitals?

According to CMS data, Michelle Wilcox is affiliated with Fort Hamilton Hughes Memorial Hospital and Bethesda North.

When was this NPI record last updated?

The NPPES record for Michelle Wilcox was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.