MS. LISA ANNE BONIN N.P.
NPI 1407962434
Nurse Practitioner in Providence, RI

Q: What is Lisa Bonin's NPI number?

The NPI number for Lisa Bonin is 1407962434. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Q: What is Lisa Bonin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Bonin was last updated on April 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since August 22, 2006PECOS EnrolledAccepts Medicare Assignment

2 DUDLEY ST, SUITE 370, PROVIDENCE, RI 02905(401) 272-1800 Get Directions Write a Review

NPPES record last updated: April 15, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Ms. Lisa Anne Bonin N.p. NPPES

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

MS. LISA ANNE BONIN N.P. (NPI 1407962434) is an individual nurse practitioner in Providence, Rhode Island, licensed in Rhode Island (NPP37294) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Newport Hospital, and is a graduate of University Of Massachusetts Medical School (2004).

NPPES Registry Identity

NPI1407962434

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMS. LISA ANNE BONINCredential: N.P.

Location Address2 DUDLEY ST, SUITE 370Providence, RI 02905-3236

Mailing AddressPo Box 16149Rumford, RI 02916-0697 · (401) 453-9625 · Fax (401) 435-7069

Phone(401) 272-1800

Sole ProprietorNo

Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2004

Enumeration DateAugust 22, 2006

Last NPPES UpdateApril 15, 2013

✔ NPI 1407962434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in RI · NPP37294

Definition

(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.

2 DUDLEY ST, Providence, RI 02905

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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

Ms. Lisa Anne Bonin N.p. 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 ID2668422858

PECOS Enrollment IDI20060403000133

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.

Medicare Billing Reassignments

Medicare enrollment records show Lisa Bonin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lifespan Physician Group, Inc.

0.1 mi

General Practice

593 EDDY ST
Providence, RI 02903

Reassigned Medicare billing, Rhode Island enrollment
1,372 clinicians in this Medicare group

NPI 1407116643 (401) 444-6779

The Miriam Hospital

3.1 mi

Cardiovascular Disease

208 COLLYER ST, SUITE 100
Providence, RI 02904

Reassigned Medicare billing, Rhode Island enrollment
106 clinicians in this Medicare group

NPI 1851677470 (401) 793-7191

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

352 services322 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

239 services225 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

86 services84 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

55 services51 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Newport Hospital

Acute Care Hospitals · Newport, RI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410006

Location11 Friendship StreetNewport, RI 02840 · Newport County

Emergency services Birthing friendly

Rhode Island Hospital

Acute Care Hospitals · Providence, RI

3/5 CMS rating

OwnershipTribal

CMS Certification Number410007

Location593 Eddy StreetProvidence, RI 02903 · Providence County

Emergency services

South County Hospital Inc

Acute Care Hospitals · Wakefield, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410008

Location100 Kenyon AveWakefield, RI 02879 · Washington County

Emergency services Birthing friendly

The Miriam Hospital

Acute Care Hospitals · Providence, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410012

Location164 Summit AvenueProvidence, RI 02906 · Providence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02905 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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 20

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

LARS STANGENBERG MD

Surgery (Vascular Surgery)

2 DUDLEY ST, SUITE 470
PROVIDENCE, RI 02905

Providence County (401) 553-8318

ALICIA P CAPRIO

Student in an Organized Health Care Education/Training Program

2 DUDLEY ST
PROVIDENCE, RI 02905

Providence County (401) 274-1100

CHARLENE A TATE MD

Psychiatry & Neurology (Neurology)

2 DUDLEY ST, SUITE 555
PROVIDENCE, RI 02905

Providence County (401) 444-6168

DR. PHILLIP R LUCAS M.D.

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

2 DUDLEY ST
PROVIDENCE, RI 02905

Providence County (401) 457-2102

J DONALD EASTON MD

Psychiatry & Neurology (Neurology)

2 DUDLEY ST, SUITE 555
PROVIDENCE, RI 02905

Providence County (401) 444-6168

MRS. AMY POTTER PILOTTE APN, BC

Nurse Practitioner (Adult Health)

2 DUDLEY ST, SUITE 470
PROVIDENCE, RI 02905

Providence County (401) 228-0595

NANCY ELEANOR STONE NP

Nurse Practitioner

2 DUDLEY ST
PROVIDENCE, RI 02905

Providence County (401) 453-4500

EDWARD J. MARCACCIO JR. MD

Surgery (Vascular Surgery)

2 DUDLEY ST, SUITE 470
PROVIDENCE, RI 02905

Providence County (401) 553-8318

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 Bonin's NPI number?

The NPI number for Lisa Bonin is 1407962434. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Lisa Bonin located?

Lisa Bonin practices at 2 Dudley St Suite 370, Providence, RI 02905. The listed phone number is (401) 272-1800.

What is Lisa Bonin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lisa Bonin enrolled in Medicare?

Yes. Lisa Bonin 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 Lisa Bonin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Bonin reassigns Medicare benefits to 2 organizations: Lifespan Physician Group, Inc. (Providence, RI) and The Miriam Hospital (Providence, RI). 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 Bonin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Lisa Bonin affiliated with any hospitals?

According to CMS data, Lisa Bonin is affiliated with Newport Hospital, Rhode Island Hospital, South County Hospital Inc and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Lisa Bonin was last updated on April 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.