Individual Healthcare Provider
Star Bumbanac
Provider's NPPES record last updated: May 10, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1205212289
- Primary Specialty
- Nurse Practitioner — Family
- Practice Location
- Carthage, New York
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 10:21 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Family
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LF0000X Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Taxonomy code 363L00000X
Provider-Reported License Information
- Nurse Practitioner (Florida)
- 11014087
- Nurse Practitioner (New York)
- 339827
- Nurse Practitioner (Illinois)
- 209027342
- Nurse Practitioner (Indiana)
- 71014684A
- Nurse Practitioner (Michigan)
- 4704380462
- Nurse Practitioner (Ohio)
- APRN.CNP.0030868
- Nurse Practitioner (Indiana)
- 14414
- Nurse Practitioner (Pennsylvania)
- SP029531
Practice Locations
Practice Location
1001 West St
Carthage, New York 13619-9703
Phone: (734) 793-6140
Additional Practice Location
19165 W Bluemound Rd
Brookfield, Wisconsin 53045-6076
Phone: (262) 649-2780
Additional Practice Location
26 Bolivar Dr
Bradford, Pennsylvania 16701-3125
Phone: (814) 817-4690
Additional Practice Location
1010 S Reed Rd
Kokomo, Indiana 46901-6248
Phone: (765) 252-2176
Additional Practice Location
6831 North Ave
Oak Park, Illinois 60302-1023
Phone: (708) 298-0540
Additional Practice Location
2880 Stelzer Rd
Columbus, Ohio 43219-3133
Phone: (833) 620-1234
Additional Practice Location
7375 Oswego Rd Ste 1
Liverpool, New York 13090-3717
Phone: (315) 291-0064
Additional Practice Location
1175 M-89 (Allegan St)
Plainwell, Michigan 49080
Phone: (269) 204-3025
Record Information
- Enumeration Date
- August 3, 2015
- Provider's NPPES Record Last Updated
- May 10, 2024
- Certification Date
- August 17, 2021
- NPISignal NPPES Dataset
- August 2026
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