Individual provider Active NPI

Bonnie Jean Wirgau, RN, BSN

  • Registered Nurse
  • Alpena, MI
National Provider Identifier
1083495147
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
4704273603 Issued in MI
Practice address
2438 Ontario St
Alpena, MI 49707-3065
Phone
(989) 255-8990
NPI assigned
Oct 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704273603 MI Primary
Case Management Registered Nurse 163WC0400X 4704273603 MI

Addresses

Primary practice location

2438 Ontario St
Alpena, MI 49707-3065

Mailing address

2438 Ontario St
Alpena, MI 49707-3065
Phone (989) 255-8990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704273603MIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Michigan Community Mental Health Authority CurrentSince Oct 15, 2023 Accepting new patients
Northeast Michigan Community Mental Health Authority PastSince Oct 15, 2023 Accepting new patients

Locations

400 Johnson St
Alpena, MI 49707
Phone (989) 354-2515

Organizations & group practices 2

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": "1697155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1083495147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2438 ONTARIO ST",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497073065",
            "telephone_number": "989-255-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2438 ONTARIO ST",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497073065",
            "telephone_number": "989-255-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIRGAU",
        "first_name": "BONNIE",
        "middle_name": "JEAN",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-13",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704273603",
            "primary": true
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MI",
            "license": "4704273603",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpena, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.