Individual provider Active NPI

Benae McCoy, FNP-C

  • Family Nurse Practitioner
  • Sylvania, OH
National Provider Identifier
1235929829
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRNCNP0039017 Issued in OH
Practice address
4149 Meadow Green Dr
Sylvania, OH 43560-3836
Phone
(419) 340-2469
NPI assigned
May 8, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704373291 MI
Family Nurse Practitioner 363LF0000X APRNCNP0039017 OH Primary

Addresses

Primary practice location

4149 Meadow Green Dr
Sylvania, OH 43560-3836

Mailing address

4149 Meadow Green Dr
Sylvania, OH 43560-3836
Phone (419) 340-2469

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
I20251226001869 OH Practitioner - Nurse Practitioner 1557857729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment
Group practices
NW Ohio Hospital Medicine Physicians LLCGroup PAC ID 5092169375, 55 clinicians

Practice addresses (Care Compare)

950 W Wooster St
Bowling Green, OH 43402-2603
Phone (844) 270-6621

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704373291MIMDFamily Nurse Practitioner
APRNCNP0039017OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NW Ohio Hospital Medicine Physicians LLC CurrentSince Oct 17, 2025 Accepting new patients

Locations

950 W Wooster St
Bowling Green, OH 43402
Phone (419) 354-8900

Organizations & group practices 1

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 2

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": "1746662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1235929829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4149 MEADOW GREEN DR",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435603836",
            "telephone_number": "419-340-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4149 MEADOW GREEN DR",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435603836",
            "telephone_number": "419-340-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "BENAE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704373291",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRNCNP0039017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

Verify at the official NPI Registry.