MICHAEL G BONIFACIO PMHNP-BC
NPI 1275310146
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
4Medicare enrollment records show Michael Bonifacio reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chicago, IL 60610
- Reassigned Medicare billing, Illinois enrollment
Chicago, IL 60608
- Reassigned Medicare billing, Illinois enrollment
- 39 clinicians in this Medicare group
Northbrook, IL 60062
- Reassigned Medicare billing, Illinois enrollment
- 7 clinicians in this Medicare group
Naperville, IL 60564
- Reassigned Medicare billing, Illinois enrollment
- 475 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 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.
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.
Which organizations bill Medicare for Michael Bonifacio's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Bonifacio reassigns Medicare benefits to 4 organizations: Bonafide Wellness LLC (Chicago, IL), Baal Perazim Wellness, Inc (Chicago, IL), The Ruth Institute Of Integrative Care LLC (Northbrook, IL) and Edgewood Clinical Services, P.C. (Naperville, IL). 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 Michael Bonifacio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Bonifacio accept?
Health plans from Oscar Health 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 6 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.
# Michael G Bonifacio, PMHNP-BC · NPI 1275310146
Psychiatric/Mental Health physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since September 13, 2023.
## Identity
- **NPI:** 1275310146 (Entity type: Individual)
- **Enumerated:** September 13, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 277005466 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2918 W LOGAN BLVD, Chicago, IL 60647-1732
- **Phone:** (773) 817-2577
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Bonafide Wellness LLC (NPI 1508703414, Chicago, IL); Baal Perazim Wellness, Inc (NPI 1215403530, Chicago, IL); The Ruth Institute Of Integrative Care LLC (NPI 1538745153, Northbrook, IL); Edgewood Clinical Services, P.C. (NPI 1295914646, Naperville, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** April 20, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1275310146) · Data from the CMS NPPES public registry.