Individual provider Active NPI

Stephanie Bonelli, APRN

  • Family Nurse Practitioner
  • Canton, MI
National Provider Identifier
1821647108
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704367523 Issued in MI
Practice address
45300 Cherry Hill Rd
Canton, MI 48187-5073
Phone
(866) 389-2727
NPI assigned
Sep 9, 2019
Last updated
Jul 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 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 4704367523 MI Primary

Addresses

Primary practice location

45300 Cherry Hill Rd
Canton, MI 48187-5073

Mailing address

45300 Cherry Hill Rd
Canton, MI 48187-5073
Phone (866) 389-2727

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
I20210824000705 MI Practitioner - Nurse Practitioner 7517299423 Reassigns benefits to 16 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704367523MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Urgent Care PC CurrentSince May 19, 2022 Accepting new patients
Farmington Hills Urgent Care Walk-in Clinic PC CurrentSince Aug 1, 2022 Accepting new patients
Rochester Urgent Care Walk-in Clinic CurrentSince May 19, 2022 Accepting new patients
Shelby Urgent Care Walk-in Clinic CurrentSince May 19, 2022 Accepting new patients
SHC Medical Partners of Michigan, LLC CurrentSince May 22, 2023 Accepting new patients
Doctors Urgent Care Southfield CurrentSince May 19, 2022 Accepting new patients
Chesterfield Urgent Care Walk-in Clinic CurrentSince May 19, 2022 Accepting new patients
Canton Urgent Care Walk-in Clinic PC CurrentSince May 19, 2022 Accepting new patients
Troy Urgent Care Walk-in Clinic CurrentSince May 19, 2022 Accepting new patients
Doctors Urgent Care Troy West PC CurrentSince May 19, 2022 Accepting new patients
Clinton Urgent Care Walk-in Clinic CurrentSince May 19, 2022 Accepting new patients
Ypsilanti Urgent Care Walk-in Clinic CurrentSince May 19, 2022 Accepting new patients
Sterling Heights Urgent Care Walk-in Clinic CurrentSince May 19, 2022 Accepting new patients
Commerce Urgent Care Walk-in Clinic CurrentSince May 19, 2022 Accepting new patients
Doctors Urgent Care Sterling Heights West CurrentSince May 19, 2022 Accepting new patients

Locations

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

43033 Ford Rd
Canton, MI 48187
Phone (734) 927-5050

51160 Gratiot Ave
Chesterfield, MI 48051
Phone (586) 221-1805

37150 S Gratiot Ave
Clinton Twp, MI 48036
Phone (586) 267-1334

2900 Union Lake Rd
Ste 110
Commerce Twp, MI 48382
Phone (248) 242-6049

25950 Middlebelt Rd
Farmington Hills, MI 48336
Phone (248) 803-0672

540 Sunnyside Dr
Flushing, MI 48433
Phone (810) 487-0045

28550 5 Mile Rd
Livonia, MI 48154
Phone (734) 278-8270

14671 Telegraph Rd
Redford, MI 48239
Phone (313) 387-2100

2915 Walton Blvd
Rochester Hills, MI 48309
Phone (248) 375-0022

46961 Van Dyke Ave
Shelby Township, MI 48317
Phone (586) 991-5205

2161 18 Mile Rd
Sterling Heights, MI 48314
Phone (248) 250-6420

43722 Schoenherr Rd
Sterling Hts, MI 48313
Phone (586) 262-4277

23234 Ecorse Rd
Taylor, MI 48180
Phone (313) 292-8400

1933 W Maple Rd
Troy, MI 48084
Phone (248) 250-6420

4060 Rochester Rd
Troy, MI 48085
Phone (248) 250-6420

301 W Michigan Ave
Ypsilanti, MI 48197
Phone (734) 221-5440

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1821647108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45300 CHERRY HILL RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481875073",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45300 CHERRY HILL RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481875073",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONELLI",
        "first_name": "STEPHANIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704367523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

Verify at the official NPI Registry.