Active NPI
Marianne Bonomo, NP
- Family Nurse Practitioner
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 29901
- 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, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wheeling Hospital Inc | Current | Accepting new patients | |
| Reynolds Memorial Hospital, Inc | Current | Accepting new patients | |
| Wheeling Hospital Inc | Current | Accepting new patients | |
| West Virginia University Hospitals Inc | Current | Accepting new patients | |
| West Virginia University Hospitals, Inc | Current | Accepting new patients | |
| West Virginia University Hospitals, Inc. | Current | 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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Glen Dale, WV
- NPI 1518068014
-
- Family Medicine Physician
- Morgantown, WV
- NPI 1598847634
-
dba WVUH Professional Group
- Emergency Medicine Physician
- Morgantown, WV
- NPI 1740763952
-
- Rehabilitation Hospital Unit
- Morgantown, WV
- NPI 1760209225
-
- General Acute Care Hospital
- Wheeling, WV
- NPI 1104821305
-
- Pediatrics Physician
- Martins Ferry, OH
- NPI 1376732206
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wheeling, WV
- NPI 1104821305
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.