Cortney Bonello, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704348293 Issued in MI

Practice address

1560 E Maple Rd Ste 290
Troy, MI 48083-1135

Phone

(248) 749-6630

NPI assigned

Oct 7, 2021

Last updated

Mar 12, 2024By 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 1

Addresses

Other names 1

• Cortney Fortune Former name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Aliraza Jaffer MD PLLC

  dba Regenerative Pain Medicine

  • Pain Medicine Physician
  • Troy, MI
  • NPI 1528836756
  Medicare reassignment NPD
• Dermatology Center of Rochester Hills, P.C.

  • Dermatology Physician
  • Rochester, MI
  • NPI 1952516569
  NPD (past)

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1912669938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59584 ACORN DR",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480941254",
            "telephone_number": "586-291-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 E MAPLE RD STE 290",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831135",
            "telephone_number": "248-749-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONELLO",
        "first_name": "CORTNEY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-07",
        "last_updated": "2024-03-12",
        "certification_date": "2024-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704348293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORTNEY",
            "last_name": "FORTUNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Savannah Bolotta
• Linda R Bolton, MD
• Kristin Conners Boncore
• Kristina J Bond, FNP
• Lori Bondalapati, MA, LPC, CAADC
• John D Bonema, MD
• Leah Bonilla, PHD, LLP
• Jeremy Bonka
• Booth Counseling Services, P.C.
• Elaine Booth, LMSW

• Family Nurse Practitioner in Troy, MI
• Providers in Troy, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.