ILEANA BONFANTE – Nurse Practitioner, NPI 1043456437

ILEANA BONFANTE is a healthcare provider. based in Atlanta, Georgia. specializing in Nurse Practitioner. They hold a License No. 9283370 (FL). The NPI Number for ILEANA BONFANTE is 1043456437

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
ILEANA BONFANTE
NPI
1043456437
Phone
(786) 594-6880
Address
PO BOX 198054
Enumeration Date
6 January 2009
Last Update Date
27 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7865961960
Graduation Year
2008 (18 years ago)
PAC ID
8426194135
Group Practice PAC ID
3870696933
Professional Enrollment ID
I20091012000075
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:17State licenses:2Digital endpointsOther names

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Provider Addresses for ILEANA BONFANTE

  • PO BOX 198054

    ATLANTA, GA 303848054

    Phone: (786) 594-6880

    Type: Mailing

  • Baptist Hospital of Miami, 8900, Southwest 88th Street, Miami, Miami-Dade County, Florida, 33176, United States

    3 MAIN

    MIAMI, FL 331762118

    Phone: (786) 594-9794

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $159.

Total Amount is formed as General ($159) + Research ($0) + Ownership ($0) = $159.

Last reported payment date: 2023-09-25 • Largest payer in this snapshot: Biosense Webster, Inc. ($125).

Total Amount

$159

General + Research + Ownership

Payments

3

Total payment records

General Amount

$159

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-10-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091012000075INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30384)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870696933View full group profile

Reviews

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Frequently asked questions

How is ILEANA BONFANTE identified in CMS data?
CMS-hosted NPPES data lists ILEANA BONFANTE with NPI 1043456437.
Can I rely on ILEANA BONFANTE being an active provider?
As of the registry snapshot, ILEANA BONFANTE is marked active.
What is ILEANA BONFANTE's primary classification?
Nurse Practitioner is the headline specialty for ILEANA BONFANTE here. Clinical services aligned with this taxonomy classification.
Where is ILEANA BONFANTE based?
ILEANA BONFANTE is tied to Atlanta, Georgia in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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