Individual provider Active NPI

Bonnie Austin, CNP

  • Family Nurse Practitioner
  • Beachwood, OH
National Provider Identifier
1760970479
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP022315 Issued in OH
Practice address
23214 Ranch Rd
Beachwood, OH 44122-1565
Phone
(216) 356-6550
NPI assigned
Apr 27, 2018
Last updated
Apr 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP022315 OH Primary

Addresses

Primary practice location

23214 Ranch Rd
Beachwood, OH 44122-1565

Mailing address

PO Box 1086
Willoughby, OH 44096-1086
Phone (216) 645-7242

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
I20180918002150 OH Practitioner - Nurse Practitioner 6507117314 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

311 S 15TH St
St 101
Coshocton, OH 43832-1874
Phone (740) 622-0332

659 Boulevard St
Dover, OH 44622-2026
Phone (330) 343-3311

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP022315OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Foundation - Coshocton, LLC CurrentSince Sep 18, 2022 Accepting new patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation CurrentSince Jul 16, 2022 Accepting new patients
Coshocton County Memorial Hospital Association Current Accepting new patients
Prime Healthcare Foundation - Coshocton LLC CurrentSince Sep 18, 2022 Accepting new patients
Hospitalist Medicine Physicians of Richland County, LTD CurrentSince Jul 29, 2022 Accepting new patients
Primus Wound Care Inc PastSince Mar 1, 2022 Accepting new patients
Coshocton Surgical Clinic Past Accepting new patients

Locations

1801 W Olympic Blvd
Pasadena, CA 91199

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1055

1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919

311 S 15th St
Ste 101
Coshocton, OH 43812
Phone (740) 295-3360

406 S 15th St
Ste 2
Coshocton, OH 43812
Phone (740) 623-4440

659 Boulevard St
Dover, OH 44622
Phone (330) 343-3311

6307 E State Rd
Newcomerstown, OH 43832
Phone (740) 498-5515

221 Railroad St
Warsaw, OH 43844
Phone (740) 294-9006

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.

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": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1760970479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1086",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440961086",
            "telephone_number": "216-645-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23214 RANCH RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221565",
            "telephone_number": "216-356-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "BONNIE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-27",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP022315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.