Individual provider Active NPI

Bebongchu Nkemasong, MSN, APRN,PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1962050187
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.025135 Issued in OH
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

Updated by the provider on Dec 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Mount Carmel Behavioral Healthcare LLCGroup PAC ID 0446595383, 11 clinicians
Ohio Hospital for Psychiatry LLCGroup PAC ID 3476588245, 8 clinicians

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

OrganizationSpecialtyStatusNew patients
Aln Psych and Behavioral Health LLC Psychiatric/Mental Health CurrentSince Jun 1, 2021 Accepting new patients
Ohio Hospital for Psychiatry, LLC CurrentSince Apr 1, 2021 Accepting new patients
Mount Carmel Behavioral Healthcare, LLC CurrentSince Nov 9, 2019 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.

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

Verify at the official NPI Registry.