BONNIE K OETMAN (NPI# 1346324860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346324860 |
| Entity Type | Individual |
| Full Name | BONNIE K OETMAN |
| Credential | NP |
| Practice Address |
1540 Lake Lansing Rd Ste 201 Lansing MI 48912-3757 |
| Practice Telephone | 5179133900 |
| Practice Fax Number | 5179133901 |
| Mailing Telephone | 5179133900 |
| Mailing Fax Number | 5179133901 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2010-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704098641 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MCLAREN HEALTH PLAN-MEDICAID | 1059825 | 01 |
| MI | BCBS | 5008766030 | 01 |
| MI | MCLAREN HEALTH ADVANTAGE | 1059825 | 01 |
| MI | 4376184 | 05 | |
| MI | RAILROAD MEDICARE | 500020133 | 01 |
| MI | AETNA | 9492259 | 01 |
| MI | MEDICARE ADVANTAGE | 0N55170001 | 01 |
| MI | MCLAREN HEALTH PLAN-COMMERCIAL | 1059825 | 01 |
| Street Address |
1540 LAKE LANSING RD STE 201 |
| City | LANSING |
| State | MI |
| Zip Code | 48912-3757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437195336 | Paul M. Entler | Internal Medicine | 1540 Lake Lansing Rd Ste 201, Lansing, MI 48912-3757 | 2006-06-21 |
| 1851861710 | Heather Soule | Registered Nurse | 1540 Lake Lansing Rd Ste 201, Lansing, MI 48912-3757 | 2018-12-04 |
| 1659841518 | Lisa Starr | Registered Nurse | 1540 Lake Lansing Rd Ste 201, Lansing, MI 48912-3757 | 2018-12-04 |
| 1225371909 | Katie Lee Hammond | Internal Medicine | 1540 Lake Lansing Rd Ste 201, Lansing, MI 48912-3757 | 2013-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316563646 | Shelley Gabel | Surgery | 1200 E Michigan Ave., Sparrow Professional Building Suite 655, Lansing, MI 48912 | 2020-06-23 |
| 1568087237 | Ahmed Mohamed Haggag | Student in an Organized Health Care Education/Training Program | 1215 East Michigan Avenue 3rd Floor, Lansing, MI 48912 | 2020-06-09 |
| 1467074773 | Craig Hargurkirat Malli | Family Medicine | 1215 E Michigan Avenue Suite 245, Lansing, MI 48912 | 2020-05-08 |
| 1215558945 | Temmy J. Brotherson | Family Medicine | Sparrow Health Systems, 1200 E Michigan Avenues, Suite 245, Lansing, MI 48912 | 2020-05-05 |
| 1386265452 | Kyle Patrick Doran | Emergency Medicine | Sparrow Health System, 1215 E Michigan Avenue, Lansing, MI 48912 | 2020-04-30 |
| 1316418841 | Andrea Mcswain Do PC | Obstetrics & Gynecology | 1909 E. Michigan Ave, Lansing, MI 48912 | 2018-12-10 |
| 1215386115 | Michael Vernon Hollis | Student in an Organized Health Care Education/Training Program | 1500 E Michigan Ave, Suite 655, Lansing, MI 48912 | 2016-06-10 |
| 1518333970 | Eastside Community Action Center | Social Worker | 1001 Dakin Street, Suite B, Lansing, MI 48912 | 2015-08-19 |
| 1649667403 | Cheryl Ann Wade | Counselor | 1712 E Michigan Ave., Lansing, MI 48912 | 2015-04-20 |
| 1083006134 | Carol Pratt | Occupational Therapist | 1200 E. Michigan Ave, Outpatient Rehab - Lower Level, Lansing, MI 48912 | 2015-02-26 |
| Find all providers in zip 48912 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376179614 | Wuraola Ojelabi | Nurse Practitioner | 18038 Ridgewood Ave, Lansing, IL 60438-2254 | 2020-03-18 |
| 1700422904 | Pa-nhia Yang-murray | Nurse Practitioner | 2511 Westbury Rd, Lansing, MI 48906-3734 | 2019-11-22 |
| 1649820184 | Ashley Tellez | Nurse Practitioner | 300 N Clippert St Ste 6, Lansing, MI 48912-4693 | 2019-09-17 |
| 1215598339 | Amanda M Draper | Nurse Practitioner | 405 W Greenlawn Ave # 130, Lansing, MI 48910-2898 | 2019-06-28 |
| 1831565886 | Chelsea Rae Jensen | Nurse Practitioner | 2909 E Grand River Ave Ste 102, Lansing, MI 48912-4335 | 2015-08-13 |
| 1699155671 | Maurica Cox | Nurse Practitioner | 1200 E Michigan Ave Ste 445, Lansing, MI 48912-1897 | 2015-06-04 |
| 1205225349 | Brenda Lee Jackson | Nurse Practitioner | 757 W Eisenhower Rd, Lansing, KS 66043-2215 | 2015-01-13 |
| 1609217660 | Vicki M Lainesse | Nurse Practitioner | 1200 E Michigan Ave Ste 775, Lansing, MI 48912-1838 | 2013-07-08 |
| 1326646050 | Dorothy Ingersoll | Nurse Practitioner | 1210 W Saginaw St, Lansing, MI 48915-1927 | 2020-10-14 |
| 1265070866 | Tyler David Greshow | Nurse Practitioner | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2019-12-13 |
| Find all providers in LANSING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.