CARISSA ANN BONNER PNP
NPI 1699078170
Nurse Practitioner - Pediatrics in Houghton Lake, MI

NPI Status: Active since December 06, 2010

Contact Information

9249 W LAKE CITY RD
HOUGHTON LAKE, MI
ZIP 48629
Phone: (989) 422-5122
Fax: (989) 422-4378

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  • Individual
  • Female
  • Nurse Practitioner
  • Pediatrics
  • Accepts Insurance

About CARISSA BONNER

This page provides the complete NPI Profile along with additional information for Carissa Bonner, a provider established in Houghton Lake, Michigan with a medical specialization in Nurse Practitioner, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1699078170 assigned on December 2010. The practitioner's primary taxonomy code is 363LP0200X with license number 4704250132 (MI). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1699078170
Provider Name
CARISSA ANN BONNER PNP
Gender
Female
Entity Type
Individual
Location Address
9249 W LAKE CITY RD HOUGHTON LAKE, MI 48629
Location Phone
(989) 422-5122
Location Fax
(989) 422-4378
Mailing Address
9249 W LAKE CITY RD HOUGHTON LAKE, MI 48629
Mailing Phone
(989) 422-5122
Mailing Fax
(989) 422-4378
Is Sole Proprietor?
No
Enumeration Date
12-06-2010
Last Update Date
03-20-2015
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A nurse practitioner (NP) like Carissa Bonner is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Pediatrics

Taxonomy Code
363LP0200X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
4704250132
License State
MI

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze Saver HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO
  • MHP Bronze - HMO
  • MHP Bronze Saver (Expanded) - HMO
  • MHP Expanded Bronze Standard - HMO
  • MHP Gold - HMO
  • MHP Gold Standard - HMO
  • MHP Silver Exchange - HMO
  • MHP Silver Exchange Rewards - HMO
  • MHP Silver Standard - HMO
  • MHP Young Adult/Catastrophic - HMO
  • MyPriority Balanced Silver - HMO
  • MyPriority Premier Silver - HMO
  • MyPriority Standard Bronze - HMO
  • MyPriority Standard Bronze - Travel - HMO
  • MyPriority Standard Gold - HMO
  • MyPriority Standard Silver - HMO
  • MyPriority Standard Silver - Travel - HMO
  • MyPriority Value Bronze - HMO
  • MyPriority Value Bronze HSA - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
G27604075MEDICARE PIN (08)MI 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1699078170, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
9
Unchanged
Pos 5
0
Doubled → 0
Pos 6
7
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 0 → 0 8 → 16 → 7 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 8 + 9 + 0 + 7 + 1 + 6 + 1 + 1 + 4 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1699078170.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physician Assistant
9249 W LAKE CITY RD
HOUGHTON LAKE, MI 48629
Nurse Practitioner (Family)
9249 W LAKE CITY RD
HOUGHTON LAKE, MI 48629
Physician Assistant
9249 W LAKE CITY RD
HOUGHTON LAKE, MI 48629
Physician Assistant
9249 W LAKE CITY RD, MID MICHIGAN HEALTH SERVICES
HOUGHTON LAKE, MI 48629
Physical Therapist
9249 W LAKE CITY RD
HOUGHTON LAKE, MI 48629
Social Worker (Clinical)
9249 W LAKE CITY RD
HOUGHTON LAKE, MI 48629
Nurse Practitioner (Family)
9249 W LAKE CITY RD
HOUGHTON LAKE, MI 48629
Physical Therapist
9249 W LAKE CITY RD
HOUGHTON LAKE, MI 48629
Family Medicine
9249 W LAKE CITY RD
HOUGHTON LAKE, MI 48629
Physician Assistant (Medical)
9249 W LAKE CITY RD
HOUGHTON LAKE, MI 48629
Clinic/Center (Federally Qualified Health Center (FQHC))
9249 W LAKE CITY RD
HOUGHTON LAKE, MI 48629
Physical Therapist
9249 W LAKE CITY RD
HOUGHTON LAKE, MI 48629
Pharmacy (Community/Retail Pharmacy)
9249 W LAKE CITY RD
HOUGHTON LAKE, MI 48629
Pediatrics
9249 W LAKE CITY RD
HOUGHTON LAKE, MI 48629
Social Worker (Clinical)
9249 W LAKE CITY RD
HOUGHTON LAKE, MI 48629
Psychologist (Clinical)
9249 W LAKE CITY RD
HOUGHTON LAKE, MI 48629
Specialist/Technologist (Athletic Trainer)
9249 W LAKE CITY RD
HOUGHTON LAKE, MI 48629
Family Medicine
9249 W LAKE CITY RD
HOUGHTON LAKE, MI 48629
Physician Assistant (Medical)
9249 W LAKE CITY RD
HOUGHTON LAKE, MI 48629
Nurse Practitioner (Family)
9249 W LAKE CITY RD
HOUGHTON LAKE, MI 48629

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699078170, enumerated as an "individual" on December 06, 2010.

The provider is located at 9249 W LAKE CITY RD HOUGHTON LAKE, MI 48629 and the phone number is (989) 422-5122.

Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.