Individual provider Active NPI

Bonnie Stallings, FNP-C

  • Family Nurse Practitioner
  • Flint, MI
National Provider Identifier
1215467782
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704280311 Issued in MI
Practice address
302 Kensington Ave
Flint, MI 48503-2044
Phone
(810) 762-8400
NPI assigned
Jun 15, 2017
Last updated
Sep 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704280311 MI Primary

Addresses

Primary practice location

302 Kensington Ave
Flint, MI 48503-2044

Mailing address

302 Kensington Ave
Flint, MI 48503-2044
Phone (810) 762-8400

Other names 1

  • Bonnie Baxter Former name

Electronic endpoints 6

TypeEndpointUseAffiliation
Direct Messaging Address admin@ohasv.OncoEMRDirect.com Health Information Exchange (HIE)
Direct Messaging Address admin@OHASV.OncoEMRdirect.com
Direct Messaging Address bstiles69278@direct.covenanthealthcare.com
Direct Messaging Address admin@OHASV.OncoEMRdirect.com
Direct Messaging Address admin@OHASV.OncoEMRdirect.com
Direct Messaging Address admin@OHASV.OncoEMRdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20170707000507 MI Practitioner - Nurse Practitioner 3971872979 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

302 Kensington Ave
Flint, MI 48503-2044
Phone (810) 762-8400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.39 of 100Reported as apm
Quality
73.44
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saginaw Cooperative Hospitals, Inc Nurse Practitioner CurrentSince Nov 4, 2022 Accepting new patients
Oncology Hematology Associates of Saginaw Valley PC CurrentSince Apr 1, 2018 Accepting new patients
Cancer & Hematology Centers of Western Mi, P.C. CurrentSince Apr 29, 2024 Accepting new patients
Saginaw Cooperative Hospital Inc CurrentSince Nov 4, 2022 Accepting new patients
Burton Urgent Care PLLC CurrentSince Jun 1, 2017 Accepting new patients

Locations

1481 S Center Rd
Ste B
Burton, MI 48509
Phone (810) 720-7608

2050 E Caro Rd
Caro, MI 48723
Phone (989) 672-5001

302 Kensington Ave
Flint, MI 48503
Phone (810) 762-8058

145 Michigan St NE
Ste 3100
Grand Rapids, MI 49503
Phone (616) 954-9800

2780 Main St
Marlette, MI 48453
Phone (989) 635-1050

1000 Houghton Ave
Saginaw, MI 48602
Phone (989) 583-6800

1575 Concentric Blvd
Ste 1
Saginaw, MI 48604
Phone (989) 583-6800

5400 Mackinaw Rd
Ste 4200
Saginaw, MI 48604
Phone (989) 791-2330

2431 S M 30
West Branch, MI 48661
Phone (989) 343-2487

Interoperability endpoints

  • Direct secure messaging: admin@ohasv.oncoemrdirect.com
  • Direct secure messaging: bstiles69278@direct.covenanthealthcare.com

Organizations & group practices 5

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 2

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": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1215467782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 KENSINGTON AVE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032044",
            "telephone_number": "810-762-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 KENSINGTON AVE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032044",
            "telephone_number": "810-762-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLINGS",
        "first_name": "BONNIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704280311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@ohasv.OncoEMRDirect.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5400 Mackinaw Rd Ste 4200",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486049533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@OHASV.OncoEMRdirect.com",
            "affiliation": "N",
            "address_1": "5400 Mackinaw Rd Ste 4200",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486049533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bstiles69278@direct.covenanthealthcare.com",
            "affiliation": "N",
            "address_1": "1000 Houghton Ave",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@OHASV.OncoEMRdirect.com",
            "affiliation": "N",
            "address_1": "2431 S M 30",
            "city": "West Branch",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486619351",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@OHASV.OncoEMRdirect.com",
            "affiliation": "N",
            "address_1": "2050 E Caro Rd",
            "city": "Caro",
            "state": "MI",
            "country_code": "US",
            "postal_code": "487239320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@OHASV.OncoEMRdirect.com",
            "affiliation": "N",
            "address_1": "2780 Main St",
            "city": "Marlette",
            "state": "MI",
            "country_code": "US",
            "postal_code": "484531141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BONNIE",
            "last_name": "BAXTER",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.