Individual provider Active NPI

Zorica Bjelovuk, CNP

  • Pediatric Nurse Practitioner
  • Worthington, OH
National Provider Identifier
1730179771
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
COA.04842.NP Issued in OH
Practice address
890 High Street
Suite 200
Worthington, OH 43085-4193
Phone
(614) 540-7339
Fax
(614) 540-7338
NPI assigned
Oct 21, 2005
Last updated
Sep 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X COA.04842.NP OH Primary

Addresses

Primary practice location

890 High Street
Suite 200
Worthington, OH 43085-4193

Mailing address

890 High Street
Suite 200
Worthington, OH 43085-4193
Phone (614) 540-7339

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
I20040602000842 OH Practitioner - Nurse Practitioner 6204818412 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.04842.NPOHMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Academic Association, Inc. Pediatrics CurrentSince Mar 8, 2010 Accepting new patients
Central Ohio Primary Care Physicians Inc Current Accepting new patients
Central Ohio Primary Care Physicians, Inc. Pediatrics Past Accepting new patients
Nationwide Children's Hospital Past Accepting new patients
Central Ohio Primary Care Physicians, Inc. Past Accepting new patients

Locations

444 Butterfly Gardens Dr
Columbus, OH 43215
Phone (614) 938-0167

6435 E Broad St
Columbus, OH 43213
Phone (614) 355-8100

700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411

Dept L289
Columbus, OH 43260

7450 Hospital Dr
Ste 100
Dublin, OH 43016
Phone (614) 355-7000

433 N Cleveland Ave
Westerville, OH 43082
Phone (614) 355-8300

Interoperability endpoints

  • Direct secure messaging: zbjelovuk19249@copcp.medicity.net

Organizations & group practices 5

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": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1730179771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 HIGH STREET",
            "address_2": "SUITE 200",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854193",
            "telephone_number": "614-540-7339",
            "fax_number": "614-540-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 HIGH STREET",
            "address_2": "SUITE 200",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854193",
            "telephone_number": "614-540-7339",
            "fax_number": "614-540-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BJELOVUK",
        "first_name": "ZORICA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "COA.04842.NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

Verify at the official NPI Registry.