Active NPI
Cornelia Bolgehn, ARNP
- Family Nurse Practitioner
- Largo, FL
National Provider Identifier
1285981829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN1669332
- Practice address
- 12150 Seminole Blvd
Largo, FL 33778-2833 - Phone
- (727) 216-6188
- Fax
- (727) 216-6242
- NPI assigned
- Aug 14, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN1669332 | FL | Primary |
| Nurse Practitioner | 363L00000X | 337436 | NY |
Addresses
Primary practice location
12150 Seminole Blvd
Largo, FL 33778-2833
Mailing address
14690 Spring Hill Dr Ste 305
Spring Hill, FL 34609-8102
Phone (352) 277-5348
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| YOEW3 | Other | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN1669332 | FL | MD | Family Nurse Practitioner |
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Palm Harbor, FL
- NPI 1366641698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558569600000",
"number": "1285981829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14690 SPRING HILL DR STE 305",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346098102",
"telephone_number": "352-277-5348",
"fax_number": "352-606-2857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12150 SEMINOLE BLVD",
"city": "LARGO",
"state": "FL",
"postal_code": "337782833",
"telephone_number": "727-216-6188",
"fax_number": "727-216-6242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLGEHN",
"first_name": "CORNELIA",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-14",
"last_updated": "2019-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN1669332",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "337436",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "YOEW3",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.