BONNIE LYNN DISHROON (FNP) – Family Nurse Practitioner, NPI 1467969410
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
Provider Addresses for BONNIE LYNN DISHROON (FNP)
438 W Lake St
Tawas City, MI 487638317
Phone: (989) 305-4073
Fax: (989) 305-4079
Type: Location
416 Woodland Dr
Sandusky, MI 484711047
Phone: (810) 202-6022
Fax: (248) 460-5752
Type: Location
18100 Oakwood Blvd Ste 205
Dearborn, MI 481244085
Phone: (313) 438-7880
Fax: (313) 438-7882
Type: Location
3003 S Baldwin Rd Ste B
Lake Orion, MI 483592358
Phone: (248) 301-1090
Fax: (248) 481-2314
Type: Location
1723 W M 32 Ste B
Gaylord, MI 497359544
Phone: (989) 214-8005
Fax: (989) 214-8006
Type: Location
1266 WALTON BLVD
ROCHESTER HILLS, MI 483076900
Phone: (248) 710-2900
Fax: (248) 710-2900
Type: Mailing
Beaumont Boulevard, Southfield, Oakland County, Michigan, 48034, United States
SOUTHFIELD, MI 480333849
Phone: (947) 522-1863
Fax: (947) 522-0307
Type: Mailing
Oakwood Boulevard, Southwestern Outer Drive, Dearborn, Wayne County, Michigan, 48124, United States
DEARBORN, MI 481244085
Phone: (313) 438-7880
Fax: (313) 438-7882
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-02-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181112001482 | I | Nurse Practitioner | MI | TBD |
| I20250215000082 | I | Nurse Practitioner | NC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 65 | 62 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 36 | 36 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 22 | 22 | $0 |
| 81003 | Automated urinalysis test | 16 | 15 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 13 | 13 | $0 |
Insurance plans in this area (ZIP 48763)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | NC | |
| Family Practice | NC | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | NC | |
| Emergency Medicine, Family Practice | NC | |
| - | NC | |
| Physician Assistant | NC | |
| Emergency Medicine | KY | |
| Nurse Practitioner | NC | |
| Family Practice | VA |
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