Bonnie R Bartz, NP

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

4704158381 Issued in MI

Practice address

1501 W Chisholm St
Suite 201
Alpena, MI 49707-1401

Phone

(989) 356-5228

Fax

(989) 358-3712

NPI assigned

Aug 18, 2006

Last updated

Nov 4, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Nurse Practitioner

Practice roles

Locations

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.

• Thunder Bay Community Health Service, Inc

  • Federally Qualified Health Center (FQHC)
  • Hillman, MI
  • NPI 1629107552
  Medicare reassignment NPD
• Thunder Bay Community Health Service, Inc

  • Federally Qualified Health Center (FQHC)
  • Mio, MI
  • NPI 1750751392
  NPD
• Thunder Bay Community Health Service, Inc

  • Federally Qualified Health Center (FQHC)
  • Rogers City, MI
  • NPI 1477591691
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288828800000",
    "number": "1720192883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 W CHISHOLM ST",
            "address_2": "SUITE 201",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071401",
            "telephone_number": "989-356-5228",
            "fax_number": "989-358-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W CHISHOLM ST",
            "address_2": "SUITE 201",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071401",
            "telephone_number": "989-356-5228",
            "fax_number": "989-358-3712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTZ",
        "first_name": "BONNIE",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2010-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MI",
            "license": "4704158381",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MI",
            "license": "4704158381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared Baker, OTD, OTR/L
• Kourtiny Baker
• Marlene Barkley, RN
• Dawn Rachelle Barron-Bray, OTR
• Annalyse Nichole Bartz
• Hasan Basheera, MD
• Cole Jason Baskerville, DC
• Barbara Lee Bates, RN
• Laura Bates, BCBA
• Nancy Marsden Bauer, R.PH.

• Obstetrics & Gynecology Nurse Practitioner in Alpena, MI
• Providers in Alpena, MI by specialty
• Obstetrics & Gynecology Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.