Michelle Nicole Bonnet, MD
Individual provider Active NPI Psychiatry Physician · Moraine, OH
NPI 1215467261 · NPPES record last updated Aug 3, 2021
Key facts
- NPI
- 1215467261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 35.142479 (OH)
- Practice address
- 5350 Lamme Rd
Moraine, OH 45439-3215 - Phone
- (937) 534-4620
- Fax
- (937) 522-8799
- NPI assigned
- Jun 13, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Wright State University Boonshoft School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kettering Independent Medical Group Inc
Practice addresses (Care Compare)
3550 Lamme Rd
Dayton, OH 45439-3215
Phone (937) 534-4620
4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309
4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751
5348 Lamme Rd
Moraine, OH 45439-3215
Phone (937) 534-4651
5350 Lamme Rd
Moraine, OH 45439-3215
Phone (937) 534-4620
Hospital & facility affiliations
- Kettering Health Miamisburg
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.34 of 100
- Quality
- 63.67
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.14
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210610001319 | OH | Practitioner - Psychiatry | 9436559598 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.142479 | OH | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kettering Independent Medical Group Inc | Current |
Accepting new patients | |
| Kettering Medical Center | Past | Accepting new patients |
Locations
4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910
2115 Leiter Rd
Miamisburg, OH 45342
Phone (937) 384-6920
1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306
5350 Lamme Rd
Moraine, OH 45439
Phone (937) 534-4632
5348 Lamme Rd
Moraine, OH 45439
Phone (937) 534-4651
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 35.142479 | OH | Yes |
Addresses
Primary practice location
5350 Lamme Rd
Moraine, OH 45439-3215
Mailing address
1 Prestige PL Ste 550
Miamisburg, OH 45342-6115
Phone (937) 762-1310
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mbonnet571016@direct.ketteringhealth.org | ||
| FHIR URL | https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/ |
Other providers in Moraine, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.