Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Amy Sue Wilcox

Contractor β€’ Port Clinton, OH

Active NPI 1245597236 Individual Practitioner Female Practitioner
Practice location in NPPES

316 1/2 Laurel Ave
Port Clinton, OH 434521811

Call 4198899464 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

316 1/2 Laurel Ave

Port Clinton, OH 434521811

Telephone 4198899464

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Port Clinton and Ohio

1 active clinicians are listed under Contractor with a practice address in Port Clinton, OH (714 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-08-22
Home Health Primary Specialty

NUCC Taxonomy Code: 251E00000X

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Contractor

NUCC Taxonomy Code: 171W00000X

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0062118 (OH)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location July 12, 2023

Registered at 316 1/2 LAUREL AVE, PORT CLINTON, OH 434521811 (Tel: 4198899464)

πŸ“
Updated Business Mailing Address July 12, 2023

Registered at 316 1/2 LAUREL AVE, PORT CLINTON, OH 434521811 (Tel: 4198899464)

πŸ“
Updated Practice Location August 07, 2019

Registered at 338 GARFIELD DR, PORT CLINTON, OH 434521619 (Tel: 4198899464)

βœ…
NPI Profile Active June 28, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 28, 2013

Registered at 145 CEDAR ST, PORT CLINTON, OH 434521232 (Tel: 4198899464)

πŸ“
Business Mailing Address (Initial Record) June 28, 2013

Registered at PO BOX 454, PORT CLINTON, OH 434520454 (Tel: 4198899464)

πŸ‘€
Provider Name / Credentials (Initial Record) June 28, 2013

Recorded as AMY WILCOX

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2013

Contractor

🟒
Initial NPI Registration & Enumeration April 16, 2012

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1245597236
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 16, 2012
Last Update: August 22, 2023
Sole Proprietor: Yes

Mailing Address

316 1/2 Laurel Ave

Port Clinton, OH 434521811

Phone: 4198899464

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.