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

Active since December 06, 2010
9249 W LAKE CITY RD, HOUGHTON LAKE, MI 48629(989) 422-5122(989) 422-4378 Get Directions Write a Review

NPPES record last updated: March 20, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carissa Ann Bonner Pnp NPPES

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

CARISSA ANN BONNER PNP (NPI 1699078170) is an individual pediatrics provider in Houghton Lake, Michigan, licensed in Michigan (4704250132) and active in the NPI registry since December 2010.

NPPES Registry Identity

NPI1699078170
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameCARISSA ANN BONNERCredential: PNP
Location Address9249 W LAKE CITY RDHoughton Lake, MI 48629-9602
Mailing Address9249 W Lake City RdHoughton Lake, MI 48629-9602 · (989) 422-5122 · Fax (989) 422-4378
Phone(989) 422-5122
Fax(989) 422-4378
Sole ProprietorNo
Enumeration DateDecember 6, 2010
Last NPPES UpdateMarch 20, 2015
✔ NPI 1699078170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MI · 4704250132
9249 W LAKE CITY RD, Houghton Lake, MI 48629
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Other Identifiers 1

Medicare PING27604075MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

DR. LYNDSY JEAN MCMORROW D.O.
Pediatrics
9249 W LAKE CITY RD
HOUGHTON LAKE, MI 48629
Roscommon County (989) 422-5122
MIDMICHIGAN HEALTH SERVICES
Pharmacy (Community/Retail Pharmacy)
9249 W LAKE CITY RD
HOUGHTON LAKE, MI 48629
Roscommon County (989) 202-4605
JUNE ANN STEFANKO FNP
Nurse Practitioner (Family)
9249 W LAKE CITY RD
HOUGHTON LAKE, MI 48629
Roscommon County (989) 422-5122
DR. ROBERT PATRICK MCMORROW II D.O.
Family Medicine (Addiction Medicine)
9249 W LAKE CITY RD
HOUGHTON LAKE, MI 48629
Roscommon County (989) 422-5122
MR. DANA R BRACKINS II P.A.C
Physician Assistant
9249 W LAKE CITY RD, MID MICHIGAN HEALTH SERVICES
HOUGHTON LAKE, MI 48629
Roscommon County (989) 422-5122
RUTH N SPALDING LMSW
Social Worker (Clinical)
9249 W LAKE CITY RD
HOUGHTON LAKE, MI 48629
Roscommon County (989) 422-5122
HANNAH ELIZABETH MARTIN FNP-C
Nurse Practitioner (Family)
9249 W LAKE CITY RD
HOUGHTON LAKE, MI 48629
Roscommon County (989) 422-2137
JAMIE ANN FAGERLIE
Community Health Worker
9249 W LAKE CITY RD
HOUGHTON LAKE, MI 48629
Roscommon County (198) 939-0508

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 Carissa Bonner's NPI number?

The NPI number for Carissa Bonner is 1699078170. It was assigned to this individual provider in the NPPES registry on December 6, 2010.

Where is Carissa Bonner located?

Carissa Bonner practices at 9249 W Lake City Rd, Houghton Lake, MI 48629. The listed phone number is (989) 422-5122.

What is Carissa Bonner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

What insurance does Carissa Bonner accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Carissa Bonner 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 Carissa Bonner was last updated on March 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.