BROOKANA KOREEN BONEZZI (CPNP-PC, PMHNP-BC) – Pediatric Nurse Practitioner, NPI 1225462641
Pediatric Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for BROOKANA KOREEN BONEZZI (CPNP-PC, PMHNP-BC)
3591 Reserve Commons Dr Ste 100
Medina, OH 442565334
Phone: (216) 450-1613
Fax: (216) 450-1614
Type: Location
446 MORGAN ST
CINCINNATI, OH 452062348
Phone: (513) 834-7063
Fax: (513) 873-1567
Type: Mailing
4075 OLD WESTERN ROW RD
MASON, OH 450403104
Phone: (513) 536-4673
Fax: (513) 536-0619
Type: Location
446 Morgan St
Cincinnati, OH 452062348
Phone: (513) 834-7063
Fax: (513) 873-1567
Type: Location
3333 Burnet Ave
ML 7017
Cincinnati, OH 452293026
Phone: (513) 636-4578
Fax: (513) 636-7039
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 94 Open Payments records for all available years, with a total value of $2,133.
Total Amount is formed as General ($2,133) + Research ($0) + Ownership ($0) = $2,133.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: ABBVIE INC. ($515).
Total Amount
$2,133
General + Research + Ownership
Payments
94
Total payment records
General Amount
$2,133
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $515 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $467 |
| Axsome Therapeutics, Inc. | $266 |
| Otsuka America Pharmaceutical, Inc. | $212 |
| ITI, Inc. | $106 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-05-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150522002395 | I | Nurse Practitioner | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44256)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | OH | |
| Mental Health Counselor | OH | |
| Mental Health Counselor | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Mental Health Counselor | OH | |
| Nurse Practitioner | OH | |
| Clinical Social Worker | OH |
Reviews
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