Individual provider Active NPI

Michelle M Bonnette, NP-C

  • Adult Health Nurse Practitioner
  • Norwood, MA
National Provider Identifier
1174839955
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN252844 Issued in MA
Practice address
95 Chapel St Ste 3-D
Norwood, MA 02062-3155
Phone
(781) 762-2626
Fax
(781) 762-2627
NPI assigned
Aug 31, 2010
Last updated
Mar 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN252844 MA Primary

Addresses

Primary practice location

95 Chapel St Ste 3-D
Norwood, MA 02062-3155

Mailing address

95 Chapel St Ste 3-D
Norwood, MA 02062-3155
Phone (781) 762-2626

Other identifiers 1

IdentifierTypeStateIssuer
110092077AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20101105000596 MA Practitioner - Nurse Practitioner 9830383629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Primary Care LLCGroup PAC ID 8123365152, 2 clinicians

Practice addresses (Care Compare)

95 Chapel St
Suite 2a
Norwood, MA 02062-3161
Phone (781) 762-2626

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN252844MAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Primary Care, LLC CurrentSince Jan 21, 2019 Accepting new patients
Morton Physician Associates Inc Adult Health Past Accepting new patients

Locations

95 Chapel St
Ste 3D
Norwood, MA 02062
Phone (781) 762-2626

95 Chapel St
Ste 2A
Norwood, MA 02062
Phone (781) 762-2626

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1174839955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 CHAPEL ST STE 3-D",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623155",
            "telephone_number": "781-762-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 CHAPEL ST STE 3-D",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623155",
            "telephone_number": "781-762-2626",
            "fax_number": "781-762-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNETTE",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-31",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN252844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110092077A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

Verify at the official NPI Registry.