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MICHAEL G BONIFACIO PMHNP-BC
NPI 1275310146
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL

Active since September 13, 2023PECOS EnrolledAccepts Medicare Assignment
2918 W LOGAN BLVD, CHICAGO, IL 60647(773) 817-2577 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael G Bonifacio Pmhnp-bc NPPES

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

MICHAEL G BONIFACIO PMHNP-BC (NPI 1275310146) is an individual psychiatric/mental health provider in Chicago, Illinois, licensed in Illinois (277005466) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1275310146
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMICHAEL G BONIFACIOCredential: PMHNP-BC
Location Address2918 W LOGAN BLVDChicago, IL 60647-1732
Mailing Address2918 W Logan BlvdChicago, IL 60647-1732 · (773) 817-2577
Phone(773) 817-2577
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 13, 2023
Last NPPES UpdateApril 20, 2026
NPPES CertifiedApril 20, 2026
✔ NPI 1275310146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IL · 277005466
2918 W LOGAN BLVD, Chicago, IL 60647
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael G Bonifacio Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426408998
PECOS Enrollment IDI20231223000331
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 60647 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

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 Michael Bonifacio's NPI number?

The NPI number for Michael Bonifacio is 1275310146. It was assigned to this individual provider in the NPPES registry on September 13, 2023.

Where is Michael Bonifacio located?

Michael Bonifacio practices at 2918 W Logan Blvd, Chicago, IL 60647. The listed phone number is (773) 817-2577.

What is Michael Bonifacio's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Michael Bonifacio enrolled in Medicare?

Yes. Michael Bonifacio is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michael Bonifacio accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Providence Health Plan and UnitedHealthcare list Michael Bonifacio as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Bonifacio was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.