BONNIE LYNN DISHROON FNP
NPI 1467969410
Nurse Practitioner - Family in Rochester Hills, MI

Active since December 29, 2017PECOS EnrolledAccepts Medicare Assignment
77.26/100
CMS Quality Rating
1266 WALTON BLVD, ROCHESTER HILLS, MI 48307(248) 710-2900(248) 710-2900 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 22, 2020, Oct 17, 2018, Dec 29, 2017 (3 updates tracked since 2017).

About Bonnie Lynn Dishroon Fnp NPPES

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

BONNIE LYNN DISHROON FNP (NPI 1467969410) is an individual family provider in Rochester Hills, Michigan, licensed in Michigan (4704260341) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1467969410
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBONNIE LYNN DISHROONCredential: FNP
Location Address1266 WALTON BLVDRochester Hills, MI 48307-6900
Mailing Address1266 Walton BlvdRochester Hills, MI 48307-6900 · (248) 710-2900 · Fax (248) 710-2900
Fax(248) 710-2900
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateDecember 29, 2017
Last NPPES UpdateFebruary 23, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2026
✔ NPI 1467969410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704260341
1266 WALTON BLVD, Rochester Hills, MI 48307

Secondary Practice Locations 5

Location 1438 W Lake StTawas City, MI 48763-8317 · Phone (989) 305-4073 · Fax (989) 305-4079
Location 2416 Woodland DrSandusky, MI 48471-1047 · Phone (810) 202-6022 · Fax (248) 460-5752
Location 318100 Oakwood Blvd Ste 205Dearborn, MI 48124-4085 · Phone (313) 438-7880 · Fax (313) 438-7882
Location 41723 W M 32 Ste BGaylord, MI 49735-9544 · Phone (989) 214-8005 · Fax (989) 214-8006
Location 53003 S Baldwin Rd Ste BLake Orion, MI 48359-2358 · Phone (248) 301-1090 · Fax (248) 481-2314

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bonnie Lynn Dishroon Fnp 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 ID4486908340
PECOS Enrollment IDI20250215000082
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 Billing Reassignments

5

Medicare enrollment records show Bonnie Dishroon reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
1266 WALTON BLVD
Rochester Hills, MI 48307
  • Reassigned Medicare billing, Michigan enrollment
  • 14 clinicians in this Medicare group
Primary Care
3003 S BALDWIN RD STE B
Lake Orion, MI 48359
  • Reassigned Medicare billing, Michigan enrollment
  • 14 clinicians in this Medicare group
Urgent Care
39450 W 14 MILE RD
Commerce Township, MI 48390
  • Reassigned Medicare billing, Michigan enrollment
  • 8 clinicians in this Medicare group
Family Medicine
604 AMANDA ST
Manteo, NC 27954
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Outer Banks Professional Services, LLC
  • 346 clinicians in this Medicare group
Emergency Professionals Of Michigan PC
  • Reassigned Medicare billing, Michigan enrollment
  • 163 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48307 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

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.

77.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.24
Promoting Interoperability100
Improvement Activities40
Cost41.96

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner (Family)
1266 WALTON BLVD
ROCHESTER HILLS, MI 48307
Emergency Medicine
1266 WALTON BLVD
ROCHESTER HILLS, MI 48307
Physician Assistant
1266 WALTON BLVD
ROCHESTER HILLS, MI 48307
Clinic/Center (Urgent Care)
1266 WALTON BLVD
ROCHESTER HILLS, MI 48307
Nurse Practitioner (Family)
1266 WALTON BLVD
ROCHESTER HILLS, MI 48307
Nurse Practitioner (Family)
1266 WALTON BLVD
ROCHESTER HILLS, MI 48307
Physician Assistant
1266 WALTON BLVD
ROCHESTER HILLS, MI 48307

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 Bonnie Dishroon's NPI number?

The NPI number for Bonnie Dishroon is 1467969410. It was assigned to this individual provider in the NPPES registry on December 29, 2017.

Where is Bonnie Dishroon located?

Bonnie Dishroon practices at 1266 Walton Blvd, Rochester Hills, MI 48307. The listed phone number is (248) 710-2900.

What is Bonnie Dishroon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Bonnie Dishroon enrolled in Medicare?

Yes. Bonnie Dishroon 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.

Which organizations bill Medicare for Bonnie Dishroon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bonnie Dishroon reassigns Medicare benefits to 5 organizations: Pro Health Medical Inc (Rochester Hills, MI), Pro-Health Medical Fp (Lake Orion, MI), Care Family Medicine Center PLLC (Commerce Township, MI), Outerbanks Professional Services LLC (Manteo, NC) and Emergency Professionals Of Michigan PC (MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bonnie Dishroon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bonnie Dishroon accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of NC, Cigna Healthcare and Priority Health list Bonnie Dishroon 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 Bonnie Dishroon was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.