Individual provider Active NPI

Bonnie Jean Pline, D.O.

  • Family Medicine Physician
  • Ravenna, MI
National Provider Identifier
1508084310
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101017025 Issued in MI
Practice address
1042 S. Ravenna Rd.
Ravenna, MI 49451
Phone
(231) 853-2519
Fax
(231) 853-2838
NPI assigned
Apr 24, 2007
Last updated
Jul 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101017025 MI Primary

Addresses

Primary practice location

1042 S. Ravenna Rd.
Ravenna, MI 49451

Mailing address

1042 S. Ravenna Rd.
Ravenna, MI 49451
Phone (231) 853-2519

Other identifiers 1

IdentifierTypeStateIssuer
MI3142001OtherMIMEDICARE

Other names 1

  • Bonnie Jean Arends Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101007000938 MI Practitioner - Family Practice 0042402158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apple Family Medicine, P.L.C.Group PAC ID 8527250620, 2 clinicians

Practice addresses (Care Compare)

1042 S Ravenna Rd
Ravenna, MI 49451-9583
Phone (231) 853-2519

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101017025MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Family Medicine, P.L.C. CurrentSince Aug 2, 2010 Accepting new patients

Locations

1042 S Ravenna Rd
Ravenna, MI 49451
Phone (231) 853-2519

Organizations & group practices 1

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 4

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": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1508084310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1042 S. RAVENNA RD.",
            "city": "RAVENNA",
            "state": "MI",
            "postal_code": "49451",
            "telephone_number": "231-853-2519",
            "fax_number": "231-853-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1042 S. RAVENNA RD.",
            "city": "RAVENNA",
            "state": "MI",
            "postal_code": "49451",
            "telephone_number": "231-853-2519",
            "fax_number": "231-853-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLINE",
        "first_name": "BONNIE",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101017025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "MI3142001",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BONNIE",
            "last_name": "ARENDS",
            "middle_name": "JEAN",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ravenna, MI

Sources for this page

Verify at the official NPI Registry.