Bonnie R Bartz, NP
Individual provider Active NPI Obstetrics & Gynecology Nurse Practitioner · Alpena, MI
NPI 1720192883 · NPPES record last updated Nov 4, 2010
Key facts
- NPI
- 1720192883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner 363LX0001X
- License
- 4704158381 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090825000448 | MI | Practitioner - Certified Nurse Midwife (CNM) | 9739260423 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704158381 | MI | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thunder Bay Community Health Service, Inc | Current |
Accepting new patients | |
| Thunder Bay Community Health Service, Inc | Current |
Accepting new patients | |
| Thunder Bay Community Health Service, Inc | Past | Accepting new patients |
Locations
1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000
1501 W Chisholm St
Ste 201
Alpena, MI 49707
Phone (989) 356-4049
11899 M 32
Atlanta, MI 49709
Phone (989) 785-4855
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 4704158381 | MI | |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 4704158381 | MI | Yes |
Addresses
Primary practice location
1501 W Chisholm St
Suite 201
Alpena, MI 49707-1401
Mailing address
1501 W Chisholm St
Suite 201
Alpena, MI 49707-1401
Phone (989) 356-5228
Other providers in Alpena, MI
- Jared Baker
- Kourtiny Baker
- Marlene Barkley
- Dawn Rachelle Barron-Bray
- Annalyse Nichole Bartz
- Hasan Basheera
- Barbara Lee Bates
- Laura Bates
- Nancy Marsden Bauer
- Bay Psychological Associates
All providers in Alpena, MI · Obstetrics & Gynecology Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.