DR. KIRSTEN NICOLE BONIFACIO PHD
NPI 1073137071
Psychologist in Kalamazoo, MI

Active since June 04, 2020PECOS EnrolledAccepts Medicare Assignment
84.88/100
CMS Quality Rating
601 JOHN ST STE M-005, KALAMAZOO, MI 49007(269) 341-6350 Get Directions Write a Review

NPPES record last updated: July 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 23, 2021, Jun 4, 2020 (2 updates tracked since 2020).

About Dr. Kirsten Nicole Bonifacio Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KIRSTEN NICOLE BONIFACIO PHD (NPI 1073137071) is an individual psychologist in Kalamazoo, Michigan, licensed in Michigan (6301018888) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Flint, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1073137071
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. KIRSTEN NICOLE BONIFACIOCredential: PHD
Location Address601 JOHN ST STE M-005Kalamazoo, MI 49007-5381
Mailing Address3201 Pinehurst LnGrand Blanc, MI 48439-2606 · (231) 557-7069
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 4, 2020
Last NPPES UpdateJuly 23, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2020
NPI 1073137071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MI · 6301018888
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 6352000204 (MI)
601 JOHN ST STE M-005, Kalamazoo, MI 49007

Secondary Practice Location 1

Location 11 Hurley Plz Ofc 6WFlint, MI 48503-5902 · Phone (810) 262-6815

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kirsten Nicole Bonifacio Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931502911
PECOS Enrollment IDI20210728002475
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.29
Promoting Interoperability100
Improvement Activities40
Cost68.32

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
601 JOHN ST STE M-005
KALAMAZOO, MI 49007
Pediatrics (Pediatric Hematology-Oncology)
601 JOHN ST STE M-005
KALAMAZOO, MI 49007
Pediatrics (Pediatric Hematology-Oncology)
601 JOHN ST STE M-005
KALAMAZOO, MI 49007
Pediatrics (Pediatric Hematology-Oncology)
601 JOHN ST STE M-005
KALAMAZOO, MI 49007

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kirsten Bonifacio's NPI number?

The NPI number for Kirsten Bonifacio is 1073137071. It was assigned to this individual provider in the NPPES registry on June 4, 2020.

Where is Kirsten Bonifacio located?

Kirsten Bonifacio practices at 601 John St Ste M-005, Kalamazoo, MI 49007. The listed phone number is (269) 341-6350.

What is Kirsten Bonifacio's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Kirsten Bonifacio enrolled in Medicare?

Yes. Kirsten Bonifacio is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kirsten Bonifacio accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Kirsten Bonifacio as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kirsten Bonifacio was last updated on July 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.