Individual provider Active NPI

Marianne Bonomo, NP

  • Family Nurse Practitioner
  • Ann Arbor, MI
National Provider Identifier
1184915548
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
29901 Issued in WV
Practice address
2000 Green Rd
Suite 300
Ann Arbor, MI 48105-1598
Phone
(734) 995-3764
NPI assigned
Apr 20, 2011
Last updated
Apr 20, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 29901 WV Primary

Addresses

Primary practice location

2000 Green Rd
Suite 300
Ann Arbor, MI 48105-1598

Mailing address

110 3Rd St
Yorkville, OH 43971-1208
Phone (740) 457-8186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110608000408 WV Practitioner - Nurse Practitioner 3779760384 Reassigns benefits to 3 organizations
I20111010000613 OH Practitioner - Nurse Practitioner 3779760384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wheeling Hospital IncGroup PAC ID 5799689493, 433 clinicians

Practice addresses (Care Compare)

1025 Market St
Wheeling, WV 26003-2944
Phone (304) 231-2104

51339 National Rd
Saint Clairsville, OH 43950-9119
Phone (740) 695-1210

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wheeling Hospital Inc CurrentSince Feb 24, 2022 Accepting new patients
Reynolds Memorial Hospital, Inc CurrentSince Sep 1, 2025 Accepting new patients
Wheeling Hospital Inc CurrentSince Feb 24, 2022 Accepting new patients
West Virginia University Hospitals Inc Current Accepting new patients
West Virginia University Hospitals, Inc CurrentSince Apr 1, 2020 Accepting new patients
West Virginia University Hospitals, Inc. CurrentSince Apr 1, 2020 Accepting new patients
Judith T Romano, M.D. Past Accepting new patients

Locations

222 N 5th St
Ste 101
Martins Ferry, OH 43935
Phone (740) 633-6480

222 N 5th St
Ste 102
Martins Ferry, OH 43935
Phone (740) 232-6104

92 N 4th St
Martins Ferry, OH 43935
Phone (740) 633-4191

46150 National Rd
Saint Clairsville, OH 43950
Phone (740) 695-2445

51339 National Rd
St Clairsvle, OH 43950
Phone (740) 695-1210

800 Wheeling Ave
Glen Dale, WV 26038
Phone (304) 221-4520

800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

1025 Market St
Wheeling, WV 26003
Phone (304) 231-2100

109 Mount Wood Rd
#1
Wheeling, WV 26003

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303257600000",
    "number": "1184915548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 3RD ST",
            "city": "YORKVILLE",
            "state": "OH",
            "postal_code": "439711208",
            "telephone_number": "740-457-8186",
            "fax_number": "734-661-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 GREEN RD",
            "address_2": "SUITE 300",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051598",
            "telephone_number": "734-995-3764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONOMO",
        "first_name": "MARIANNE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "29901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.