STEPHANIE BONYNGE (NP) – Acute Care Nurse Practitioner, NPI 1760957104

STEPHANIE BONYNGE (NP) is a healthcare provider. based in Troy, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 4704320472 (MI). The NPI Number for STEPHANIE BONYNGE (NP) is 1760957104

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE BONYNGE (NP)
NPI
1760957104
Phone
(248) 964-5000
Address
44201 Dequindre Rd
Enumeration Date
12 October 2018
Last Update Date
9 November 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5865667870
Graduation Year
2018 (8 years ago)
PAC ID
9436484763
Group Practice PAC ID
8921146291
Professional Enrollment ID
I20190709002863
Address ID
MI483153848SH49050RDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for STEPHANIE BONYNGE (NP)

  • 44201 Dequindre Rd

    Troy, MI 480851117

    Phone: (248) 964-5000

    Type: Location

  • Schoenherr Road, Utica, Shelby Charter Township, Macomb County, Michigan, 48038:48313, United States

    SHELBY TOWNSHIP, MI 483153848

    Phone: (586) 566-7870

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 91 Open Payments records for all available years, with a total value of $2,041.

Total Amount is formed as General ($2,041) + Research ($0) + Ownership ($0) = $2,041.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Abbott Laboratories ($347).

Total Amount

$2,041

General + Research + Ownership

Payments

91

Total payment records

General Amount

$2,041

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2019-07-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190709002863INurse PractitionerMITBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48085)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921146291View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineMI
Cardiovascular Disease (Cardiology), Internal MedicineMI
Cardiovascular Disease (Cardiology), Internal MedicineMI
Cardiovascular Disease (Cardiology), Internal Medicine, Cardiac ElectrophysiologyMI
Nurse PractitionerMI
Cardiovascular Disease (Cardiology), Internal Medicine, Interventional CardiologyMI

Reviews

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Frequently asked questions

Can I verify STEPHANIE BONYNGE (NP) with an NPI only?
You can start verification with NPI 1760957104 for STEPHANIE BONYNGE (NP), then check state licensing separately.
Does the file indicate STEPHANIE BONYNGE (NP) is practicing under active NPI?
Directory data currently reports STEPHANIE BONYNGE (NP) as active.
What healthcare role does STEPHANIE BONYNGE (NP) hold?
Scheduling teams often label STEPHANIE BONYNGE (NP) under Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect STEPHANIE BONYNGE (NP) on a map?
Expect Troy, Michigan as a primary anchor for STEPHANIE BONYNGE (NP) unless the record lists multiple sites.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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