Active NPI
Yelena Bogatello, AGPCNP, NP-C
- Nurse Practitioner
- Mayfield HTS, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AG08200167
- Practice address
- 6803 Mayfield Rd Ste 409
Mayfield HTS, OH 44124-2214 - Phone
- (440) 946-4662
- Fax
- (440) 683-1882
- NPI assigned
- Mar 22, 2013
- Last updated
- Sep 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AG08200167 | OH | Primary |
| Home Health Registered Nurse | 163WH0200X | 292338 | OH | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN.292338 | OH |
Addresses
Primary practice location
6803 Mayfield Rd Ste 409
Mayfield HTS, OH 44124-2214
Mailing address
6803 Mayfield Rd
Mayfield HTS, OH 44124-2271
Phone (440) 946-4662
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3550 Northfield Rd
Shaker Heights, OH 44122-5249
Phone (216) 752-5600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 292338 | OH | MD | Home Health Registered Nurse |
| RN.292338 | OH | MD | Psychiatric/Mental Health Registered Nurse |
| AG08200167 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Street Medical Group, LLC | Current | Accepting new patients | |
| Caremed Ohio LLC | Current | Accepting new patients | |
| Wound Med LLC | Current | Accepting new patients | |
| Atrium Medical Group, Inc | Current | Accepting new patients | |
| New Millennium Healthcare Inc. | Nurse Practitioner | Current | Accepting new patients |
| Kelli Anne Chamberlain | Psychiatric/Mental Health | Past | Accepting new patients |
| Guardian Angel Home Care Inc. | Past | Accepting new patients |
Locations
65 Ramapo Valley Rd
Ste 102B
Mahwah, NJ 07430
Phone (614) 774-7988
300 Tice Blvd
Ste 175
Woodcliff Lake, NJ 07677
2420 Knapp St
Brooklyn, NY 11235
Phone (718) 332-3622
117 Jacob Parrot Rd
Kenton, OH 43326
Phone (419) 674-4197
6803 Mayfield Rd
Ste 409
Mayfield Hts, OH 44124
Phone (440) 449-2000
290 N Commons Blvd
Mayfield Vlg, OH 44143
Phone (216) 633-7576
6559 Wilson Mills Rd
Ste 106
Mayfield Vlg, OH 44143
Phone (855) 449-1540
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.
-
- Nursing Care Agency
- Shaker Heights, OH
- NPI 1790521060
-
- Specialist
- Willoughby, OH
- NPI 1851340822
-
- Multi-Specialty Clinic/Center
- Toledo, OH
- NPI 1669123949
-
- Internal Medicine Physician
- Solon, OH
- NPI 1063683662
-
- Internal Medicine Physician
- Mayfield HTS, OH
- NPI 1891703237
Nurse Practitioner
-
- Psychiatric/Mental Health Registered Nurse
- Garfield HTS, OH
- NPI 1013418458
-
- Home Health Agency
- Santa Rosa, CA
- NPI 1104204106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1407198914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6803 MAYFIELD RD",
"city": "MAYFIELD HTS",
"state": "OH",
"postal_code": "441242271",
"telephone_number": "440-946-4662",
"fax_number": "440-683-1882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6803 MAYFIELD RD STE 409",
"city": "MAYFIELD HTS",
"state": "OH",
"postal_code": "441242214",
"telephone_number": "440-946-4662",
"fax_number": "440-683-1882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGATELLO",
"first_name": "YELENA",
"credential": "AGPCNP, NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-22",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "AG08200167",
"primary": true
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "OH",
"license": "292338",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "OH",
"license": "RN.292338",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mayfield HTS, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.