Individual provider Active NPI

Bonnie Jean Longnecker, NP

  • Family Nurse Practitioner
  • Independence, OH
National Provider Identifier
1679166474
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0029702 Issued in OH
Practice address
6100 Rockside Woods Blvd N Ste 425
Independence, OH 44131-2340
Phone
(866) 968-6327
Fax
(216) 524-0111
NPI assigned
Feb 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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 22752 SC
Family Nurse Practitioner 363LF0000X APRN.CNP.0029702 OH Primary

Addresses

Primary practice location

6100 Rockside Woods Blvd N Ste 425
Independence, OH 44131-2340

Mailing address

6100 Rockside Woods Blvd N Ste 425
Independence, OH 44131-2340
Phone (866) 968-6327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210519001128 SC Practitioner - Nurse Practitioner 3577962836
I20211117002249 OH Practitioner - Nurse Practitioner 3577962836 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Medical University of South Carolina College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Surgical Wound Care IncGroup PAC ID 7416948153, 29 clinicians

Practice addresses (Care Compare)

6100 Rockside Woods Blvd
Suite 425
Independence, OH 44131-2340
Phone (216) 643-2780

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0029702OHMDFamily Nurse Practitioner
22752SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Partners Plus PLLC CurrentSince Nov 1, 2025 Accepting new patients
Northeast Surgical Wound Care, Inc. CurrentSince Mar 1, 2022 Accepting new patients
United Wound & Vascular Institute Ohio PLLC CurrentSince Oct 1, 2025 Accepting new patients
Northeast Surgical Associates of Ohio Wound Speciality Services LTD Past Accepting new patients

Locations

6100 Rockside Woods Blvd N
Ste 425
Independence, OH 44131

6100 Oak Tree Blvd
Ste 200
Independence, OH 44131
Phone (330) 344-9030

7148 West Blvd
Youngstown, OH 44512
Phone (330) 530-4038

Interoperability endpoints

  • Direct secure messaging: blongnecker1087761@direct.osumc.edu

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1613088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1679166474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 ROCKSIDE WOODS BLVD N STE 425",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312340",
            "telephone_number": "866-968-6327",
            "fax_number": "216-524-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 ROCKSIDE WOODS BLVD N STE 425",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312340",
            "telephone_number": "866-968-6327",
            "fax_number": "216-524-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGNECKER",
        "first_name": "BONNIE",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-12",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "22752",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0029702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, OH

Sources for this page

Verify at the official NPI Registry.