Individual provider Active NPI

Justin Molignoni, CRNP

  • Family Nurse Practitioner
  • Camp Hill, PA
National Provider Identifier
1073053773
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP017205 Issued in PA
Practice address
1700 Market St
Camp Hill, PA 17011-4817
Phone
(717) 433-5390
NPI assigned
Feb 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP017205 PA Primary

Addresses

Primary practice location

1700 Market St
Camp Hill, PA 17011-4817

Mailing address

309 E Main St
Palmyra, PA 17078-1828
Phone (717) 433-5390

Other practice location 1

1617 N Front St
Harrisburg, PA 17102-2414
Phone (717) 236-4682

Other practice location 2

309 E Main St
Palmyra, PA 17078-1828
Phone (717) 433-5390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170601000210 PA Practitioner - Nurse Practitioner 3375829724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiatry Consultants of NC PLLCGroup PAC ID 2567871643, 77 clinicians

Practice addresses (Care Compare)

15 Ridgecrest Cir
Lewisburg, PA 17837-6367
Phone (570) 522-6220

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physiatry Consultants of NC PLLC CurrentSince Nov 1, 2023 Accepting new patients
NP Health of TN PLLC Past Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

1700 Market St
Camp Hill, PA 17011
Phone (717) 737-8551

501 Thomas Jones Way
Exton, PA 19341
Phone (484) 733-3700

3430 Huntingdon Pike
Huntingdon Vy, PA 19006
Phone (215) 938-7171

945 Duke St
Lebanon, PA 17042
Phone (717) 273-2705

900 Tuck St
Lebanon, PA 17042
Phone (717) 273-8595

590 S 5th Ave
Lebanon, PA 17042
Phone (717) 254-0421

15 Ridgecrest Cir
Lewisburg, PA 17837
Phone (570) 522-6181

1104 Welsh Rd
Philadelphia, PA 19115
Phone (215) 676-7191

500 Philadelphia Ave
Shillington, PA 19607
Phone (610) 777-7841

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1073053773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E MAIN ST",
            "city": "PALMYRA",
            "state": "PA",
            "postal_code": "170781828",
            "telephone_number": "717-433-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MARKET ST",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114817",
            "telephone_number": "717-433-5390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1617 N Front St",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171022414",
            "country_code": "US",
            "telephone_number": "717-236-4682",
            "fax_number": "717-236-2423",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "309 E Main St",
            "address_purpose": "LOCATION",
            "city": "Palmyra",
            "state": "PA",
            "postal_code": "170781828",
            "country_code": "US",
            "telephone_number": "717-433-5390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLIGNONI",
        "first_name": "JUSTIN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-28",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP017205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

Verify at the official NPI Registry.