Individual provider Active NPI

Yelena Bogatello, AGPCNP, NP-C

  • Nurse Practitioner
  • Mayfield HTS, OH
National Provider Identifier
1407198914
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AG08200167 Issued in OH
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201016001747 OH Practitioner - Nurse Practitioner 4385887256 Reassigns benefits to 5 organizations

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
Wound Med LLCGroup PAC ID 2769916915, 33 clinicians

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

LicenseStateTypeSpecialty
292338OHMDHome Health Registered Nurse
RN.292338OHMDPsychiatric/Mental Health Registered Nurse
AG08200167OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Main Street Medical Group, LLC CurrentSince Oct 7, 2020 Accepting new patients
Caremed Ohio LLC CurrentSince Dec 1, 2024 Accepting new patients
Wound Med LLC CurrentSince Dec 1, 2024 Accepting new patients
Atrium Medical Group, Inc CurrentSince Jul 1, 2022 Accepting new patients
New Millennium Healthcare Inc. Nurse Practitioner CurrentSince Oct 7, 2020 Accepting new patients
Kelli Anne Chamberlain Psychiatric/Mental Health Past Accepting new patients
Guardian Angel Home Care Inc. PastSince May 28, 2013 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.

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

Verify at the official NPI Registry.