Individual provider Active NPI

Bonnie K Behm, CNP

  • Family Nurse Practitioner
  • Parma, OH
National Provider Identifier
1417194903
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP.10480 Issued in OH
Practice address
1440 Rockside Rd
Parma, OH 44134
Phone
(216) 749-8276
Fax
(216) 749-8240
NPI assigned
Jan 21, 2009
Last updated
May 31, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2018

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 CNP.10480 OH Primary
Registered Nurse 163W00000X RN 259661 OH

Addresses

Primary practice location

1440 Rockside Rd
Parma, OH 44134

Mailing address

1440 Rockside Rd Ste 202
Parma, OH 44134-2749
Phone (216) 749-8276

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
I20090421000763 OH Practitioner - Nurse Practitioner 1658428081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stafford Services, Inc.Group PAC ID 4486678901, 28 clinicians

Practice addresses (Care Compare)

12380 Plaza Dr
Parma, OH 44130-1043
Phone (216) 898-8488

Merit-based Incentive Payment System (MIPS)

Final score
66.34 of 100Reported as group
Quality
63.79
Promoting interoperability
0
Improvement activities
40
Cost
74.03

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN 259661OHMDRegistered Nurse
CNP.10480OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stafford Services, Inc. Multi-Specialty CurrentSince Jun 12, 2023 Accepting new patients
Specialists in Pulmonary & Critical Care, Corp Multi-Specialty PastSince May 1, 2009 Accepting new patients

Locations

12380 Plaza Dr
Parma, OH 44130
Phone (216) 898-8444

12380 Plaza Dr
Ste 101
Parma, OH 44130
Phone (216) 898-8444

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, 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": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1417194903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 ROCKSIDE RD STE 202",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441342749",
            "telephone_number": "216-749-8276",
            "fax_number": "216-749-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 ROCKSIDE RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "44134",
            "telephone_number": "216-749-8276",
            "fax_number": "216-749-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHM",
        "first_name": "BONNIE",
        "middle_name": "K",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-21",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "CNP.10480",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN 259661",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.