1. Home
  2. Directory
  3. Michigan
  4. Portage
  5. Nurse Practitioner
  6. NPI Profile

BONITA J O'REILLY FNP
NPI 1255333860
Nurse Practitioner in Portage, MI

Active since August 12, 2005Opted out of Medicare · through Apr 1, 2028
8191 MOORSBRIDGE RD STE A, PORTAGE, MI 49024(269) 312-8170(269) 762-4785 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bonita J O'reilly Fnp NPPES

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

BONITA J O'REILLY FNP (NPI 1255333860) is an individual nurse practitioner in Portage, Michigan, licensed in Michigan (47-04-102421) and active in the NPI registry since August 2005. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1255333860
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameBONITA J O'REILLYCredential: FNP
Location Address8191 MOORSBRIDGE RD STE APortage, MI 49024-7417
Mailing Address5110 Stoney Brook RdKalamazoo, MI 49009-3846 · (269) 372-3068
Phone(269) 312-8170
Fax(269) 762-4785
Sole ProprietorYes
Enumeration DateAugust 12, 2005
Last NPPES UpdateMarch 17, 2018
✔ NPI 1255333860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 47-04-102421
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
8191 MOORSBRIDGE RD STE A, Portage, MI 49024
Open in Google Maps ↗

Other Identifiers 4

Medicaid104545456MI
Medicaid104545465MI
Medicaid104545492MI
Medicaid104545483MI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Bonita J O'reilly Fnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2018 through April 1, 2028.

Opt-Out Effective DateApril 1, 2018
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49024 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

CAMERON HANDLER
Acupuncturist
8191 MOORSBRIDGE RD STE A
PORTAGE, MI 49024
Kalamazoo County (269) 312-8170
KAREN L BETTEN M.D.
Family Medicine
8191 MOORSBRIDGE RD STE A
PORTAGE, MI 49024
Kalamazoo County (269) 779-0797

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 Bonita O'reilly's NPI number?

The NPI number for Bonita O'reilly is 1255333860. It was assigned to this individual provider in the NPPES registry on August 12, 2005.

Where is Bonita O'reilly located?

Bonita O'reilly practices at 8191 Moorsbridge Rd Ste A, Portage, MI 49024. The listed phone number is (269) 312-8170.

What is Bonita O'reilly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Bonita O'reilly enrolled in Medicare?

No. Bonita O'reilly has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Bonita O'reilly was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.