Deidra Bobincheck, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

15008-NP Issued in OH

Practice address

99 Northline Cir Ste 215
Euclid, OH 44119-1481

Phone

(216) 383-2834

Fax

(216) 383-2923

NPI assigned

Aug 30, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Miodrag Zivic LLCGroup PAC ID 9739405457, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hillcrest Hospital Hospital, Mayfield Heights, OH, CCN 360230
• Euclid Hospital Hospital, Euclid, OH, CCN 360082

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dbobincheck53334@direct.ccf.org
• Direct secure messaging: dbobincheck27695@ehrdirect.uhhospitals.org

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.

• Dr Miodrag Zivic LLC

  • Internal Medicine Physician
  • Beachwood, OH
  • NPI 1437557782
  Medicare reassignment Care Compare group
• Euclid Hospital Cleveland Clinic Health System

  • General Acute Care Hospital
  • Euclid, OH
  • NPI 1457403016
  NPD

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

• Cleveland Clinic Health System - East Region

  • General Acute Care Hospital
  • Euclid, OH
  • NPI 1598719346
  Care Compare affiliation
• Cleveland Clinic Health System - East Region

  • General Acute Care Hospital
  • Mayfield HTS, OH
  • NPI 1902858152
  Care Compare affiliation

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1770917346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 NORTHLINE CIR STE 215",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441191481",
            "telephone_number": "216-383-2834",
            "fax_number": "216-383-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 NORTHLINE CIR STE 215",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441191481",
            "telephone_number": "216-383-2834",
            "fax_number": "216-383-2923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24755 Chagrin Blvd Ste 135",
            "address_purpose": "LOCATION",
            "city": "Beachwood",
            "state": "OH",
            "postal_code": "441225692",
            "country_code": "US",
            "telephone_number": "261-383-2834",
            "fax_number": "216-383-4715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOBINCHECK",
        "first_name": "DEIDRA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-30",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "OH 278422",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "15008-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0110734",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blissfully at Home Care Agency
• Heather Bloeser
• Nicole Blount, QMHS
• Ayza Blunt
• Debra Renee Blythewood
• Hakeem Bola
• Jamilia Bolden
• Latasha Bolden
• Kiara Francine Bond
• Rachelle Bond, FNP

• Adult Health Nurse Practitioner in Euclid, OH
• Providers in Euclid, OH by specialty
• Adult Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.