Individual provider Active NPI

Bonnie Joanne Vallance

  • Clinical Social Worker
  • Battle Creek, MI
National Provider Identifier
1639773179
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801106980 Issued in MA
Practice address
2900 Watkins Rd
Battle Creek, MI 49015-8604
Phone
(269) 245-5467
NPI assigned
Nov 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801106980 MA Primary

Addresses

Primary practice location

2900 Watkins Rd
Battle Creek, MI 49015-8604

Mailing address

2900 Watkins Rd
Battle Creek, MI 49015-8604
Phone (269) 245-5467

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct Bronson HealthCare Group

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210112001191 MI Practitioner - Clinical Social Worker 8022421098 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bronson Battle Creek HospitalGroup PAC ID 0547173478, 187 clinicians

Practice addresses (Care Compare)

363 Fremont St
Suite 100
Battle Creek, MI 49017-3395
Phone (269) 969-6100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.91 of 100Reported as group
Quality
83.03
Promoting interoperability
100
Improvement activities
40
Cost
76.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801106980MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson Methodist Hospital CurrentSince Dec 11, 2020 Accepting new patients
Bronson Lakeview Hospital CurrentSince Dec 11, 2020 Accepting new patients
Bronson South Haven Hospital CurrentSince Dec 11, 2020 Accepting new patients
Bronson Lakeview Hospital CurrentSince Dec 11, 2020 Accepting new patients
Bronson Battle Creek Hospital CurrentSince Dec 11, 2020 Accepting new patients
Bronson Battle Creek Hospital CurrentSince Dec 11, 2020 Accepting new patients
Bronson South Haven Hospital CurrentSince Dec 11, 2020 Accepting new patients

Locations

2900 Watkins Rd
Battle Creek, MI 49015
Phone (269) 245-5430

363 Fremont St
Ste 100
Battle Creek, MI 49017
Phone (269) 245-5100

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

601 John St
#39
Kalamazoo, MI 49007

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

601 John St
Ste M-170
Kalamazoo, MI 49007
Phone (269) 343-3939

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

451 Health Pkwy
Ste A
Paw Paw, MI 49079
Phone (269) 655-3065

451 Health Pkwy
Paw Paw, MI 49079
Phone (269) 655-1725

950 S Bailey Ave
South Haven, MI 49090
Phone (269) 639-2796

Interoperability endpoints

  • Direct secure messaging: direct@direct.bronsonhg.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1606262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1639773179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 WATKINS RD",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490158604",
            "telephone_number": "269-245-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 WATKINS RD",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490158604",
            "telephone_number": "269-245-5467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLANCE",
        "first_name": "BONNIE",
        "middle_name": "JOANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-25",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "6801106980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson HealthCare Group Direct Address",
            "affiliationName": "Bronson HealthCare Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.