Individual provider Active NPI

Bonsitu Guluma Hubena, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • New Albany, OH
National Provider Identifier
1255003448
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0029711 Issued in OH
Practice address
6933 Grant Henry Dr Unit a
New Albany, OH 43054-8238
Phone
(614) 943-5094
NPI assigned
Oct 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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 0029711 OH Primary

Addresses

Primary practice location

6933 Grant Henry Dr Unit a
New Albany, OH 43054-8238

Mailing address

6933 Grant Henry Dr Unit a
New Albany, OH 43054-8238
Phone (614) 943-5094

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
I20221202001806 OH Practitioner - Nurse Practitioner 1456720069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Incare Health Solutions LLCGroup PAC ID 5092980730, 66 clinicians

Practice addresses (Care Compare)

5059 N High St
Columbus, OH 43214-1589
Phone (614) 987-7537

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0029711OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Incare Health Solutions, LLC Family CurrentSince Nov 4, 2022 Accepting new patients
Incare Health Solutions LLC CurrentSince Nov 4, 2022 Accepting new patients

Locations

65 N Waggoner Rd
Blacklick, OH 43004
Phone (614) 604-8805

1085 Polaris Pkwy
Columbus, OH 43240
Phone (614) 505-0021

5059 N High St
Columbus, OH 43214
Phone (614) 987-7537

7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002

2562 W Market St
Tiffin, OH 44883
Phone (567) 938-8008

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1255003448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6933 GRANT HENRY DR UNIT A",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430548238",
            "telephone_number": "614-943-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6933 GRANT HENRY DR UNIT A",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430548238",
            "telephone_number": "614-943-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBENA",
        "first_name": "BONSITU",
        "middle_name": "GULUMA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0029711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, OH

Sources for this page

Verify at the official NPI Registry.