Individual provider Active NPI

Caylee Christina Bont, PA-C

  • Physician Assistant
  • Fremont, MI
National Provider Identifier
1942639844
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601006869 Issued in MI
Practice address
230 W Oak St
Fremont, MI 49412-1526
Phone
(231) 924-4200
NPI assigned
Nov 1, 2013
Last updated
Feb 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601006869 MI Primary

Addresses

Primary practice location

230 W Oak St
Fremont, MI 49412-1526

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

Other practice location 1

11 N Maple St
Grant, MI 49327-7900
Phone (231) 834-0444

Other names 1

  • Caylee Fias Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cbont101221@epic00.shdirect.org
FHIR URL https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/

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
I20140102000217 MI Practitioner - Physician Assistant 8628206356 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

212 S Sullivan Ave
Fremont, MI 49412-1548

230 W Oak St
Corewell Health Gerber Hospital
Fremont, MI 49412-1526
Phone (231) 924-4200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Newaygo County General Hospital Association CurrentSince Oct 15, 2017 Accepting new patients
Spectrum Health Primary Care Partners Current Accepting new patients
Spectrum Health Primary Care Partners Physician Assistant CurrentSince Jan 9, 2017 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Jan 9, 2017 Accepting new patients
Newaygo County General Hospital Association CurrentSince Oct 15, 2017 Accepting new patients
Newaygo County General Hospital Association Past Accepting new patients

Locations

204 W Main St
Fremont, MI 49412
Phone (231) 924-1122

212 S Sullivan Ave
Fremont, MI 49412
Phone (231) 924-1212

230 W Oak St
Fremont, MI 49412
Phone (231) 924-1305

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

2332 Alpine Ave NW
Grand Rapids, MI 49544
Phone (616) 363-3311

2750 E Beltline Ave NE
Grand Rapids, MI 49525
Phone (616) 267-7015

3350 Broadmoor Ave SE
Kentwood, MI 49512
Phone (616) 391-7710

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

80 68th St SE
Kentwood, MI 49548
Phone (616) 391-8220

211 W Pine Lake Dr
Newaygo, MI 49337
Phone (231) 652-1631

6105 Wilson Ave SW
Wyoming, MI 49418
Phone (616) 486-5000

Interoperability endpoints

  • Direct secure messaging: cbont101221@epic00.corewelldirect.org
  • Direct secure messaging: cbont101221@epic00.shdirect.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1942639844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 W OAK ST",
            "city": "FREMONT",
            "state": "MI",
            "postal_code": "494121526",
            "telephone_number": "231-924-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 N Maple St",
            "address_purpose": "LOCATION",
            "city": "Grant",
            "state": "MI",
            "postal_code": "493277900",
            "country_code": "US",
            "telephone_number": "231-834-0444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONT",
        "first_name": "CAYLEE",
        "middle_name": "CHRISTINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-01",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cbont101221@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "230 W Oak St",
            "city": "Fremont",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494121526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "230 W Oak St",
            "city": "Fremont",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494121526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CAYLEE",
            "last_name": "FIAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fremont, MI

Sources for this page

Verify at the official NPI Registry.