Individual provider Active NPI

Molly Bonnington, FNP

  • Family Nurse Practitioner
  • Saginaw, MI
National Provider Identifier
1760901904
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704304530 Issued in MI
Practice address
4701 Towne Centre Rd Ste 303
Saginaw, MI 48604
Phone
(989) 790-6719
Fax
(989) 790-9464
NPI assigned
Sep 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704304530 MI Primary

Addresses

Primary practice location

4701 Towne Centre Rd Ste 303
Saginaw, MI 48604

Mailing address

PO Box 779
Tawas City, MI 48764-0779
Phone (989) 790-6719

Other practice location 1

4701 Towne Centre Rd Ste 303
Saginaw, MI 48604
Phone (989) 790-6719

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mollystewart@smomsjhs.allscriptsdirect.net

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171212003129 MI Practitioner - Nurse Practitioner 6608134028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rau Physical Therapy IncGroup PAC ID 2365721339, 98 clinicians
Mymichigan Medical Center SaginawGroup PAC ID 6305737156, 111 clinicians

Practice addresses (Care Compare)

193 E Jefferson St
Frankenmuth, MI 48734-1935

4677 Towne Centre Rd
FL 2
Saginaw, MI 48604-2846
Phone (989) 790-6719

Hospital & facility affiliations

  • Mymichigan Medical Center Saginaw Hospital, Saginaw, MI, CCN 230077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704304530MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Saginaw Current Accepting new patients
Mymichigan Medical Center Saginaw CurrentSince Dec 26, 2017 Accepting new patients
Mymichigan Medical Center Saginaw CurrentSince Dec 26, 2017 Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients

Locations

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4677 Towne Centre Rd
Fl 2
Saginaw, MI 48604

4701 Towne Centre Rd
Ste 3
Saginaw, MI 48604
Phone (989) 790-0007

5275 Colony Dr N
Saginaw, MI 48638
Phone (989) 249-3671

4701 Towne Centre Rd
Ste 303
Saginaw, MI 48604
Phone (989) 780-2455

805 W Cedar St
Standish, MI 48658
Phone (989) 846-3500

Interoperability endpoints

  • Direct secure messaging: molly.bonnington.1@11016.direct.athenahealth.com

Organizations & group practices 6

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": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1760901904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 779",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487640779",
            "telephone_number": "989-790-6719",
            "fax_number": "989-790-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 TOWNE CENTRE RD STE 303",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "48604",
            "telephone_number": "989-790-6719",
            "fax_number": "989-790-9464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4701 Towne Centre Rd Ste 303",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "48604",
            "country_code": "US",
            "telephone_number": "989-790-6719",
            "fax_number": "989-790-9464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONNINGTON",
        "first_name": "MOLLY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-19",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704304530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mollystewart@smomsjhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "4701 Towne Centre Rd Ste 303",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.