Individual provider Active NPI

Colleen Mary Bonser, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Ann Arbor, MI
National Provider Identifier
1801764949
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704374498 Issued in MI
Practice address
209 S State St
Ann Arbor, MI 48104-2005
Phone
(734) 769-1804
NPI assigned
Oct 29, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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 4704374498 MI Primary

Addresses

Primary practice location

209 S State St
Ann Arbor, MI 48104-2005

Mailing address

209 S State St
Ann Arbor, MI 48104-2005
Phone (734) 769-1804

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
I20260217000511 MI Practitioner - Nurse Practitioner 8426538661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Core Cardiovascular Clinic PLLCGroup PAC ID 6800234899, 2 clinicians

Practice addresses (Care Compare)

37799 Professional Ctr Dr
Suite 105
Livonia, MI 48154-1123
Phone (248) 878-3171

Hospital & facility affiliations

  • Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704374498MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Core Cardiovascular Clinic, PLLC CurrentSince Jan 11, 2026 Accepting new patients

Locations

37799 Professional Center Dr
Ste 105
Livonia, MI 48154
Phone (248) 878-3171

1500 W Big Beaver Rd
Ste 108
Troy, MI 48084
Phone (248) 878-3171

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 and National Provider Directory roles.

Hospital & facility affiliations 11

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": "1761696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1801764949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 S STATE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042005",
            "telephone_number": "734-769-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S STATE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042005",
            "telephone_number": "734-769-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONSER",
        "first_name": "COLLEEN",
        "middle_name": "MARY",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-29",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704374498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.