RAMON BONIFACIO APN, PMHNP-BC
NPI 1578430773
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL

Active since October 21, 2025PECOS EnrolledAccepts Medicare Assignment
1 N STATE ST FL 15, CHICAGO, IL 60602(312) 600-3991(630) 473-2232 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ramon Bonifacio Apn, Pmhnp-bc NPPES

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

RAMON BONIFACIO APN, PMHNP-BC (NPI 1578430773) is an individual psychiatric/mental health provider in Chicago, Illinois, licensed in Illinois (209.033588) and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1578430773
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameRAMON BONIFACIOCredential: APN, PMHNP-BC
Location Address1 N STATE ST FL 15Chicago, IL 60602-3206
Mailing Address2918 W Logan Blvd Unit 3eChicago, IL 60647-1732 · (773) 810-9120
Fax(630) 473-2232
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 21, 2025
Last NPPES UpdateJanuary 20, 2026
NPPES CertifiedJanuary 20, 2026
✔ NPI 1578430773 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 · 209.033588
1 N STATE ST FL 15, Chicago, IL 60602

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

Ramon Bonifacio Apn, 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 ID7719473735
PECOS Enrollment IDI20251230000544
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

2

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

Internal Medicine
3416 S HALSTED ST
Chicago, IL 60608
  • Reassigned Medicare billing, Illinois enrollment
  • 39 clinicians in this Medicare group
Psychiatry
5 REVERE DR STE 200
Northbrook, IL 60062
  • Reassigned Medicare billing, Illinois enrollment
  • 7 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 60602 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.

Other Providers at the Same Location NPPES 3

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

Durable Medical Equipment & Medical Supplies
1 N STATE ST FL 15
CHICAGO, IL 60602
Clinic/Center (Health Service)
1 N STATE ST FL 15
CHICAGO, IL 60602
Dietitian, Registered
1 N STATE ST FL 15
CHICAGO, IL 60602

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 Ramon Bonifacio's NPI number?

The NPI number for Ramon Bonifacio is 1578430773. It was assigned to this individual provider in the NPPES registry on October 21, 2025.

Where is Ramon Bonifacio located?

Ramon Bonifacio practices at 1 N State St Fl 15, Chicago, IL 60602. The listed phone number is (312) 600-3991.

What is Ramon Bonifacio's specialty?

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

Is Ramon Bonifacio enrolled in Medicare?

Yes. Ramon 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 Ramon Bonifacio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ramon Bonifacio reassigns Medicare benefits to 2 organizations: Baal Perazim Wellness, Inc (Chicago, IL) and The Ruth Institute Of Integrative Care LLC (Northbrook, 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 Ramon Bonifacio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ramon Bonifacio accept?

Health plans from Oscar Health and UnitedHealthcare list Ramon 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 Ramon Bonifacio was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.