Laken Bungo
NPI 1255171112 · Nurse Practitioner · Indiana, PA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Laken Bungo is a Nurse Practitioner provider in Indiana, PA (NPI 1255171112).
Provider details
- NPI number
- 1255171112
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RN711984 (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 9603 Highway 422 WShelocta, PA 15774Phone: (724) 801-1240
Registry dates
- Enumerated
- 2024-05-29
- Last updated
- 2025-12-22
- Certified
- 2025-12-22
Frequently asked questions
- What is Laken Bungo's NPI number?
- Laken Bungo's National Provider Identifier (NPI) is 1255171112, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Laken Bungo's specialty?
- Laken Bungo is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Laken Bungo located?
- Laken Bungo's practice location on file with NPPES is 625 Rustic Lodge Rd, Indiana, PA 15701-3403.
- What is Laken Bungo's phone number?
- The practice phone number listed in the NPPES registry for Laken Bungo is (724) 463-3720.
- Does Laken Bungo accept Medicare?
- Laken Bungo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Laken Bungo's NPI active?
- Yes — Laken Bungo's NPI (1255171112) is active in the NPPES registry as of the last update on 2025-12-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.