Individual provider Active NPI

Mary Bogner, FNP-C

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1639559867
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17421 Issued in OH
Practice address
5525 Marie Ave
Cincinnati, OH 45248-3200
Phone
(513) 981-5463
Fax
(513) 598-2242
NPI assigned
Jun 3, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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 COA.17421-NP OH
Student in an Organized Health Care Education/Training Program 390200000X
Family Nurse Practitioner 363LF0000X 17421 OH Primary

Addresses

Primary practice location

5525 Marie Ave
Cincinnati, OH 45248-3200

Mailing address

3300 Mercy Health Blvd
Cincinnati, OH 45211-1103
Phone (513) 233-7100

Other practice location 1

3300 Mercy Health Blvd
Cincinnati, OH 45211-1103
Phone (513) 233-7100

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
I20150706002555 OH Practitioner - Nurse Practitioner 2163734013 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Cincinnati LLCGroup PAC ID 6709790892, 191 clinicians

Practice addresses (Care Compare)

5525 Marie Ave
Cincinnati, OH 45248-3200
Phone (513) 981-5463

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17421OHMDGeneral Practice Dentistry
COA.17421-NPOHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Urgent Care LLC CurrentSince Oct 1, 2025 Accepting new patients
Mercy Emergency Care Services, Inc. Nurse Practitioner CurrentSince Jun 5, 2015 Accepting new patients
Mercy Health Physicians Cincinnati, LLC Nurse Practitioner CurrentSince Nov 1, 2017 Accepting new patients
Mercy Health Physicians Cincinnati LLC CurrentSince Nov 1, 2017 Accepting new patients

Locations

4130 Dry Ridge Rd
Cincinnati, OH 45252
Phone (513) 385-6000

3300 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-1114

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

5525 Marie Ave
Cincinnati, OH 45248
Phone (513) 598-1300

6020 S State Route 48
Maineville, OH 45039
Phone (513) 853-8800

1064 State Route 28
Ste F
Milford, OH 45150
Phone (513) 981-4050

2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200

Interoperability endpoints

  • Direct secure messaging: mbogner63629@direct.bsmhealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1639559867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 MERCY HEALTH BLVD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452111103",
            "telephone_number": "513-233-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 MARIE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452483200",
            "telephone_number": "513-981-5463",
            "fax_number": "513-598-2242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Mercy Health Blvd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452111103",
            "country_code": "US",
            "telephone_number": "513-233-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOGNER",
        "first_name": "MARY",
        "name_prefix": "Miss",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA.17421-NP",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "17421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.