MEDICARE: YELENA BOGATELLO AGPCNP, NP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WH0200X	Home Health Registered Nurse	292338	OH
2	163WP0808X	Psychiatric/Mental Health Registered Nurse	RN.292338	OH
3	363L00000X	Nurse Practitioner	AG08200167	OH

General Provider Information

NPI Number	:	1407198914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YELENA BOGATELLO AGPCNP, NP-C

Provider Business Mailing Address
First Line	:	6803 MAYFIELD RD
Second Line	:
City	:	MAYFIELD HTS
State	:	OH
Zip	:	44124-2271
Country	:	US
Telephone Number	:	440-946-4662
Fax Number	:	440-683-1882

Provider Business Practice Location Address
First Line	:	6803 MAYFIELD RD STE 409
Second Line	:
City	:	MAYFIELD HTS
State	:	OH
Zip	:	44124-2214
Country	:	US
Telephone Number	:	440-946-4662
Fax Number	:	440-683-1882

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2013
Last Update Date	:	09/10/2020

Similar Medicare Providers

1891703237 — NEW MILLENNIUM HEALTHCARE INC.
Practice Location Address:

6803 MAYFIELD RD STE 409
MAYFIELD HTS, OH
44124-2214

Practice Phone: 440-946-4662
Practice Fax:

1346272069 — DR. LARRY DASHEFSKY M.D.
Practice Location Address:

6803 MAYFIELD RD STE 409
MAYFIELD HEIGHTS, OH
44124-2214

Practice Phone: 440-449-2000
Practice Fax: 440-449-9393

1780873091 — LARRY DASHEFSKY MD INC
Practice Location Address:

6803 MAYFIELD RD STE 409
CLEVELAND, OH
44124-2214

Practice Phone: 440-449-2000
Practice Fax:

1316960743 — DR. BETTY JEAN DESJARLAIS D.C.
Practice Location Address:

118 W BROADWAY
MAYFIELD, KY
42066-2214

Practice Phone: 270-247-2121
Practice Fax: 270-247-2127

1487657672 — DR. Y. VICTOR SHIN M.D.
Practice Location Address:

6770 MAYFIELD RD , STE 338
MAYFIELD HTS, OH
44124-2299

Practice Phone: 440-442-4330
Practice Fax: 440-442-4695

1508869504 — TERESA J. GUTIERREZ LISW
Practice Location Address:

6009 LANDERHAVEN DR , STE F
MAYFIELD HTS, OH
44124-4192

Practice Phone: 440-646-0671
Practice Fax: 440-461-5033

Directions to “ YELENA BOGATELLO AGPCNP, NP-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.