LAUREN BRANDT WILEY (PA-C) – Physician Assistant, NPI 1083914485

LAUREN BRANDT WILEY (PA-C) is a healthcare provider. based in Marysville, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. TL1596 (SC). The NPI Number for LAUREN BRANDT WILEY (PA-C) is 1083914485

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
LAUREN BRANDT WILEY (PA-C)
NPI
1083914485
Phone
(937) 644-6115
Address
500 London Ave
Enumeration Date
1 November 2010
Last Update Date
26 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2010 (16 years ago)
PAC ID
3274715420
Group Practice PAC ID
6305758426
Professional Enrollment ID
I20121206000577
Address ID
OH432154799CO393XXSTXX400

Contacts

Secure Messaging
lwiley88971@direct.ohiohealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:15State licenses:2Other namesUpdated within 12 months

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for LAUREN BRANDT WILEY (PA-C)

  • 500 London Ave

    Marysville, OH 430405512

    Phone: (937) 644-6115

    Fax: (937) 619-4150

    Type: Location

  • 4750 HEMPSTEAD STATION DR

    KETTERING, OH 454295164

    Phone: (800) 875-0136

    Fax: (937) 619-4150

    Type: Mailing

  • 500 LONDON AVE

    MARYSVILLE, OH 430405512

    Phone: (937) 644-6115

    Fax: (937) 619-4150

    Type: Location

  • 2295 W WILLIAM ST

    DELAWARE, OH 430151361

    Phone: (740) 615-0100

    Fax: (740) 615-0101

    Type: Location

  • PO BOX 7527

    DUBLIN, OH 430170727

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2024-02-13 • Largest payer in this snapshot: Corcept Therapeutics ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Corcept Therapeutics$24
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-12-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121206000577IPhysician AssistantOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5831$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1717$0
99239Hospital discharge day management, more than 30 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 43040)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305758426View full group profile
NameSpecialtyState
Nurse PractitionerOH
Nurse PractitionerOH
Internal Medicine, Family Practice, UrologyOH
Physician AssistantOH
-OH
O B S T E T R I C S/ G Y N E C O L O G YMN
General PracticeOH
-OH
Nurse PractitionerOH
Physician AssistantOH

Reviews

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Frequently asked questions

What is the 10-digit NPI for LAUREN BRANDT WILEY (PA-C)?
LAUREN BRANDT WILEY (PA-C) — NPI 1083914485 — is the standard way to identify this listing.
Can I rely on LAUREN BRANDT WILEY (PA-C) being an active provider?
As of the registry snapshot, LAUREN BRANDT WILEY (PA-C) is marked active.
What taxonomy line describes LAUREN BRANDT WILEY (PA-C)?
For research purposes, treat LAUREN BRANDT WILEY (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What area does LAUREN BRANDT WILEY (PA-C) serve?
LAUREN BRANDT WILEY (PA-C)'s listing highlights Marysville, Ohio; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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