Active NPI
Bebongchu Nkemasong, MSN, APRN,PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN.CNP.025135
- Practice address
- 6100 Channingway Blvd Ste 508
Columbus, OH 43232-2910 - Phone
- (614) 812-0415
- Fax
- (614) 812-0432
- NPI assigned
- Aug 30, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN.CNP.025135 | OH | Primary |
Addresses
Primary practice location
6100 Channingway Blvd Ste 508
Columbus, OH 43232-2910
Mailing address
1649 Brice Rd Ste a
Reynoldsburg, OH 43068-2796
Phone (614) 812-0415
Other practice location 1
4646 Hilton Corporate Dr
columbus, OH 43232
Phone (614) 487-2080
Other practice location 2
880 Greenlawn Ave
Columbus, OH 43223-2616
Phone (614) 532-4307
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200131001188 | OH | Practitioner - Nurse Practitioner | 8123454626 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Ohio State University College of Medicine, 2019
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4646 Hilton Corporate Dr
Columbus, OH 43232-4147
Phone (614) 487-2020
6100 Channingway Blvd
Suite 508
Columbus, OH 43232-2910
Phone (614) 812-0415
880 Greenlawn Ave
Columbus, OH 43223-2616
Phone (614) 445-4600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aln Psych and Behavioral Health LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Ohio Hospital for Psychiatry, LLC | Current | Accepting new patients | |
| Mount Carmel Behavioral Healthcare, LLC | Current | Accepting new patients |
Locations
4646 Hilton Ln
Columbus, OH 43232
Phone (614) 487-2020
6100 Channingway Blvd
Ste 508
Columbus, OH 43232
Phone (614) 812-0415
880 Greenlawn Ave
Columbus, OH 43223
Phone (614) 445-4600
1649 Brice Rd
Ste A
Reynoldsburg, OH 43068
Phone (614) 812-0415
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 and National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Columbus, OH
- NPI 1083294078
OH, Psychiatric/Mental Health
-
- Community/Behavioral Health Agency
- Dublin, OH
- NPI 1942451216
OH
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640649600000",
"number": "1962050187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1649 BRICE RD STE A",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430682796",
"telephone_number": "614-812-0415",
"fax_number": "614-812-0432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 CHANNINGWAY BLVD STE 508",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432322910",
"telephone_number": "614-812-0415",
"fax_number": "614-812-0432"
}
],
"practiceLocations": [
{
"address_1": "4646 Hilton Corporate Dr",
"address_purpose": "LOCATION",
"city": "columbus",
"state": "OH",
"postal_code": "43232",
"country_code": "US",
"telephone_number": "614-487-2080",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "880 Greenlawn Ave",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432232616",
"country_code": "US",
"telephone_number": "614-532-4307",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NKEMASONG",
"first_name": "BEBONGCHU",
"credential": "MSN, APRN,PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-30",
"last_updated": "2021-12-28",
"certification_date": "2021-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OH",
"license": "APRN.CNP.025135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.