LORI BONAFEDE
NPI 1134536105
Nurse Practitioner - Family in Scranton, PA

Active since July 22, 2014PECOS Enrolled
743 JEFFERSON AVE, SUITE 203, SCRANTON, PA 18510(570) 344-9997(570) 344-3158 Get Directions Write a Review

NPPES record last updated: June 24, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lori Bonafede NPPES

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

LORI BONAFEDE (NPI 1134536105) is an individual family provider in Scranton, Pennsylvania, licensed in Pennsylvania (SP013243) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Scranton.

NPPES Registry Identity

NPI1134536105
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLORI BONAFEDE
Location Address743 JEFFERSON AVE, SUITE 203Scranton, PA 18510-1635
Mailing Address610 Wyoming AveKingston, PA 18704-3702 · (570) 288-5441 · Fax (570) 288-5842
Fax(570) 344-3158
Sole ProprietorNo
Enumeration DateJuly 22, 2014
Last NPPES UpdateJune 24, 2019
NPI 1134536105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in PA · SP013243
743 JEFFERSON AVE, Scranton, PA 18510

Secondary Practice Location 1

Location 1640 Madison AveScranton, PA 18510-1631 · Phone (570) 961-5500 · Fax (570) 961-3844

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lori Bonafede is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18510 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

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

Family Medicine
743 JEFFERSON AVE, STE 104
SCRANTON, PA 18510
Obstetrics & Gynecology
743 JEFFERSON AVE, SUITE 206
SCRANTON, PA 18510
Internal Medicine (Hematology & Oncology)
743 JEFFERSON AVE, SUITE 205
SCRANTON, PA 18510
Internal Medicine (Pulmonary Disease)
743 JEFFERSON AVE
SCRANTON, PA 18510
Internal Medicine
743 JEFFERSON AVE
SCRANTON, PA 18510
Internal Medicine (Interventional Cardiology)
743 JEFFERSON AVE, SUITE 305
SCRANTON, PA 18510
Nurse Practitioner (Adult Health)
743 JEFFERSON AVE, SUITE 206
SCRANTON, PA 18510
Internal Medicine
743 JEFFERSON AVE, STE. 302
SCRANTON, PA 18510

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 Lori Bonafede's NPI number?

The NPI number for Lori Bonafede is 1134536105. It was assigned to this individual provider in the NPPES registry on July 22, 2014.

Where is Lori Bonafede located?

Lori Bonafede practices at 743 Jefferson Ave Suite 203, Scranton, PA 18510. The listed phone number is (570) 344-9997.

What is Lori Bonafede's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lori Bonafede enrolled in Medicare?

Yes. Lori Bonafede is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lori Bonafede was last updated on June 24, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.