Individual provider Active NPI

Brookana Koreen Bonezzi, CPNP-PC, PMHNP-BC

  • Pediatric Nurse Practitioner
  • Brunswick, OH
National Provider Identifier
1225462641
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
COA.15039-NP Issued in OH
Practice address
3777 Selma LN
Brunswick, OH 44212-4428
Phone
(347) 222-8843
NPI assigned
Aug 22, 2013
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X COA.15039-NP OH Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP.15039 OH

Addresses

Primary practice location

3777 Selma LN
Brunswick, OH 44212-4428

Mailing address

3777 Selma LN
Brunswick, OH 44212-4428
Phone (347) 222-8843

Other names 1

  • Brookana Koreen Kirchner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150522002395 OH Practitioner - Nurse Practitioner 7810219201 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florence Kimbo MD LLCGroup PAC ID 4183850423, 13 clinicians

Practice addresses (Care Compare)

18660 Bagley Rd
Suite 404
Middleburg Heights, OH 44130-3483
Phone (440) 234-8746

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.15039-NPOHMDPediatric Nurse Practitioner
CNP.15039OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florence Kimbo M.D., LLC CurrentSince Aug 1, 2025 Accepting new patients
Advanced Recovery Concepts LLC Psychiatric/Mental Health CurrentSince Oct 3, 2023 Accepting new patients
Psychological & Behavioral Consultants, LLC CurrentSince Oct 1, 2018 Accepting new patients

Locations

25700 Science Park Dr
Ste 210
Beachwood, OH 44122
Phone (216) 452-1613

1080 Nimitzview Dr
Ste 200
Cincinnati, OH 45230
Phone (513) 233-0020

1730 W 25th St
Cleveland, OH 44113
Phone (216) 696-4300

3090 W Market St
Ste 119
Fairlawn, OH 44333
Phone 4402348746 ext. 48746

3591 Reserve Commons Dr
Ste 100
Medina, OH 44256
Phone (330) 721-6504

18660 Bagley Rd
Bldg 1
Middleburg Heights, OH 44130
Phone (440) 234-8746

7530 Lucerne Dr
Ste 110
Middleburg Heights, OH 44130
Phone 4402348746 ext. 48746

25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1225462641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3777 SELMA LN",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442124428",
            "telephone_number": "347-222-8843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3777 SELMA LN",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442124428",
            "telephone_number": "347-222-8843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONEZZI",
        "first_name": "BROOKANA",
        "middle_name": "KOREEN",
        "credential": "CPNP-PC, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-22",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "COA.15039-NP",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "CNP.15039",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKANA",
            "last_name": "KIRCHNER",
            "middle_name": "KOREEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brunswick, OH

Sources for this page

Verify at the official NPI Registry.