Active NPI
Bonnie Lou Kilpela, P.A.
- Physician Assistant
- Munising, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601002221
- Practice address
- 1500 Sandpoint Rd
Munising, MI 49862-1406 - Phone
- (906) 387-4110
- NPI assigned
- Dec 5, 2005
- Last updated
- Sep 29, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601002221 | MI | Primary |
Addresses
Primary practice location
1500 Sandpoint Rd
Munising, MI 49862-1406
Mailing address
1600 County Road 492
Marquette, MI 49855-9634
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56010022221 | Other | MI | MICHIGAN LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 Sandpoint Rd
Munising, MI 49862-1406
Phone (906) 387-4110
2500 Harbor Blvd
Port Charlotte, FL 33952-5000
Phone (941) 766-4122
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601002221 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ies Florida PLLC | Current | Accepting new patients | |
| DLP Marquette Physician Practices Inc | Current | Accepting new patients | |
| Aspirus Iron River Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Northern Michigan Emergency Physicians, LLP | Physician Assistant | Current | Accepting new patients |
| DLP Marquette Physician Practices Inc | Physician Assistant | Current | Accepting new patients |
| Aspirus Iron River Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Ironwood Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Munising Memorial Hospital Association | Current | Accepting new patients | |
| Aspirus Ironwood Hospital & Clinics Inc | Current | Accepting new patients | |
| Northern Michigan Emergenc Physicians, LLP | Physician Assistant | Current | Accepting new patients |
| Northcoast Radiology Associates, PC | Past | Accepting new patients | |
| Marquette General Hospital, Inc. | Past | Accepting new patients | |
| Marquette General Hospital, Inc. | Past | Accepting new patients |
Locations
1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410
2500 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 766-4122
540 The Rialto
Venice, FL 34285
Phone (866) 481-2553
29980 Network Pl
Chicago, IL 60673
3401 Ludington St
Escanaba, MI 49829
Phone (906) 786-3311
710 S Lincoln Rd
Ste 700
Escanaba, MI 49829
Phone (906) 786-2172
301 Explorer St
Gwinn, MI 49841
Phone (906) 346-4924
1400 W Ice Lake Rd
Iron River, MI 49935
Phone (906) 265-6121
N10561 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500
N10565 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500
107 W Main St
Ste 2
Marquette, MI 49855
Phone (906) 662-4070
1414 W Fair Ave
Ste 334
Marquette, MI 49855
Phone (906) 225-3870
1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864
580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131
1500 Sandpoint Rd
Munising, MI 49862
Phone (906) 387-4110
Organizations & group practices 17
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.
-
dba Bay Care Medical Center
- Family Medicine Physician
- Munising, MI
- NPI 1629120415
-
- Emergency Medicine Physician
- Venice, FL
- NPI 1124788716
-
dba Aspirus Iron River Hospital
- Critical Access Hospital
- Iron River, MI
- NPI 1497750830
-
dba Marquette General Family Medicine - Marquette
- Obesity Medicine (Internal Medicine) Physician
- Marquette, MI
- NPI 1487902995
Physician Assistant
-
- Emergency Medicine Physician
- Escanaba, MI
- NPI 1417972183
Physician Assistant
-
- Critical Access Hospital
- Ironwood, MI
- NPI 1649297342
-
- Family Medicine Physician
- Ironwood, MI
- NPI 1992704753
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
-
- Emergency Medicine Physician
- Clewiston, FL
- NPI 1184040560
-
dba Aspirus Iron River Clinic
- Rural Health Clinic/Center
- Iron River, MI
- NPI 1306344783
-
dba Aspirus Ironwood Clinic
- Rural Health Clinic/Center
- Ironwood, MI
- NPI 1801210695
-
dba Aspirus Palliative Medicine - Michigan
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Ironwood, MI
- NPI 1609743590
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba UP Health System Marquette
- General Acute Care Hospital
- Marquette, MI
- NPI 1568727048
-
dba Munising Memorial Hospital
- Critical Access Hospital
- Munising, MI
- NPI 1417035536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632873600000",
"number": "1326022286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 COUNTY ROAD 492",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498559634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 SANDPOINT RD",
"city": "MUNISING",
"state": "MI",
"postal_code": "498621406",
"telephone_number": "906-387-4110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILPELA",
"first_name": "BONNIE",
"middle_name": "LOU",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-05",
"last_updated": "2021-09-29",
"certification_date": "2021-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601002221",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MICHIGAN LICENSE #",
"identifier": "56010022221",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Munising, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.