Bonetta Lou Coulter, APRN-CNS
Individual provider Active NPI Adult Health Clinical Nurse Specialist · Columbus, OH
NPI 1083257604 · NPPES record last updated Oct 27, 2019
Key facts
- NPI
- 1083257604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Clinical Nurse Specialist 364SA2200X
- License
- APRNCNS019419 (OH)
- Practice address
- 1601 W Broad St
Columbus, OH 43222-1054 - Phone
- (614) 272-3115
- NPI assigned
- Oct 27, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Clinical Nurse Specialist (CNS)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- State of Ohio Office of Budget and Management State Accounting
Practice addresses (Care Compare)
1601 W Broad St
Columbus, OH 43222-1087
Phone (614) 272-0509
Hospital & facility affiliations
- Doctors Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200918000423 | OH | Practitioner - Certified Clinical Nurse Specialist (CNS) | 1951729235 |
Reassigns benefits to 1 organization Practice locations: Bucyrus, OH |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRNCNS019419 | OH | MD | Adult Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Ohio Office of Budget and Management State Accounting | Current | Accepting new patients | |
| Tiffin Developmental Center | Current |
Accepting new patients | |
| State of Ohio Office of Budget and Management State Accounting | Current |
Accepting new patients |
Locations
1601 W Broad St
Columbus, OH 43222
Phone (614) 272-0509
30 E Broad St
Fl 11
Columbus, OH 43215
Phone (614) 466-9930
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Clinical Nurse Specialist | 364SA2200X | APRNCNS019419 | OH | Yes |
Addresses
Primary practice location
1601 W Broad St
Columbus, OH 43222-1054
Mailing address
566 E Kelso Rd
Columbus, OH 43202-2326
Phone (614) 268-7109
Other names
- Bonnie L Coulter
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | COLUMBUS | Other |
Other providers in Columbus, OH
- Katharine Couch
- Kimberly K Couch
- Mikaela Couch
- Peyton Thomas Couch
- Kate Coughlin
- Joelle Bloom Coulter
- Teresa Coulter
- Council of Governments for Central Ohio Area Agency on Aging
- Jemila Council
- Counseling for Hope and Healing, LLC
All providers in Columbus, OH · Adult Health Clinical Nurse Specialist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.