LISA SHAY BONO (CRNP) – Family Nurse Practitioner, NPI 1104198316

LISA SHAY BONO (CRNP) is a healthcare provider. based in Butler, Pennsylvania. specializing in Family Nurse Practitioner. They hold the professional credentials CRNP. They hold a License No. SP011517 (PA). The NPI Number for LISA SHAY BONO (CRNP) is 1104198316

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
LISA SHAY BONO (CRNP)
NPI
1104198316
Phone
(833) 246-7662
Address
160 Hollywood Dr
Enumeration Date
2 February 2012
Last Update Date
15 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7245438657
Graduation Year
2011 (15 years ago)
PAC ID
1456512912
Group Practice PAC ID
9739077561
Professional Enrollment ID
I20120411000239

Contacts

Secure Messaging
lfuller191809@direct.ahn.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:14State licenses:1Other namesUpdated within 12 months

Provider Addresses for LISA SHAY BONO (CRNP)

  • 160 Hollywood Dr

    Butler, PA 160015600

    Phone: (833) 246-7662

    Fax: (724) 671-1706

    Type: Location

  • 247 MOREWOOD AVE

    PITTSBURGH, PA 152131861

    Phone: (412) 622-0290

    Fax: (412) 681-7605

    Type: Mailing

  • 1 NOLTE DR

    KITTANNING, PA 162017111

    Phone: (833) 246-7662

    Fax: (724) 671-1706

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $187.

Total Amount is formed as General ($187) + Research ($0) + Ownership ($0) = $187.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($90).

Total Amount

$187

General + Research + Ownership

Payments

10

Total payment records

General Amount

$187

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

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: 2012-04-11

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
I20120411000239INurse PractitionerPATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes2318$0
99213Established patient office or other outpatient visit, 20-29 minutes1615$0
View full utilization report →

Insurance plans in this area (ZIP 16001)

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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: 9739077561View full group profile
NameSpecialtyState
-PA
Nurse PractitionerPA
Physician AssistantPA
Nurse PractitionerPA
H E M A T O L O G Y/ O N C O L O G YPA
H E M A T O L O G Y/ O N C O L O G YPA
Internal MedicinePA
Nurse PractitionerPA
Physician AssistantPA
Nurse PractitionerPA

Reviews

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Frequently asked questions

What federal number belongs to LISA SHAY BONO (CRNP)?
The federal identifier for LISA SHAY BONO (CRNP) is NPI 1104198316.
Is LISA SHAY BONO (CRNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does LISA SHAY BONO (CRNP) work in?
You can think of LISA SHAY BONO (CRNP) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for LISA SHAY BONO (CRNP)?
We surface Butler, Pennsylvania for LISA SHAY BONO (CRNP) based on available NPPES addresses.
Is LISA SHAY BONO (CRNP) a real provider?
This page reflects official NPPES data for NPI 1104198316. Always confirm identity and privileges with the practice and licensing boards.

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