LISA SHAY BONO CRNP
NPI 1104198316
Nurse Practitioner - Family in Kittanning, PA
About Lisa Shay Bono Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA SHAY BONO CRNP (NPI 1104198316) is an individual family provider in Kittanning, Pennsylvania, licensed in Pennsylvania (SP011517) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Butler.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lisa Shay Bono Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Lisa Bono reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Worthington, PA 16262
- Reassigned Medicare billing, Pennsylvania enrollment
- 2,881 clinicians in this Medicare group
Pittsburgh, PA 15238
- Reassigned Medicare billing, Pennsylvania enrollment
- 7,114 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 16201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
KITTANNING, PA 16201
KITTANNING, PA 16201
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 Lisa Bono's NPI number?
The NPI number for Lisa Bono is 1104198316. It was assigned to this individual provider in the NPPES registry on February 2, 2012. The provider is also known as Lisa Fuller.
Where is Lisa Bono located?
Lisa Bono practices at 1 Nolte Dr, Kittanning, PA 16201. The listed phone number is (833) 246-7662.
What is Lisa Bono's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lisa Bono enrolled in Medicare?
Yes. Lisa Bono is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Lisa Bono's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Bono reassigns Medicare benefits to 2 organizations: Allegheny Clinic (Worthington, PA) and University Of Pittsburgh Physicians (Pittsburgh, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Bono's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Lisa Bono was last updated on September 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Lisa Shay Bono, CRNP · NPI 1104198316
Family physician in Kittanning, Pennsylvania. Individual provider, active in the CMS NPPES registry since February 2, 2012.
## Identity
- **NPI:** 1104198316 (Entity type: Individual)
- **Enumerated:** February 2, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP011517 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 NOLTE DR, Kittanning, PA 16201-7111
- **Phone:** (833) 246-7662 · **Fax:** (724) 671-1706
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Allegheny Clinic (NPI 1154834794, Worthington, PA); University Of Pittsburgh Physicians (NPI 1316191224, Pittsburgh, PA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 15, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1104198316) · Data from the CMS NPPES public registry.