Individual provider Active NPI

Perry Jon Langbein, CRNP

  • Nurse Practitioner
  • Honesdale, PA
National Provider Identifier
1104545581
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP026122 Issued in PA
Practice address
273 Grandview Ave
Honesdale, PA 18431-1163
Phone
(570) 390-4545
NPI assigned
Aug 26, 2022
Last updated
Aug 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP026122 PA Primary

Addresses

Primary practice location

273 Grandview Ave
Honesdale, PA 18431-1163

Mailing address

238 Seneca Dr
Milford, PA 18337-9708
Phone (570) 269-9584

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
I20250110001704 PA Practitioner - Nurse Practitioner 6002344645 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Lucca Group LLCGroup PAC ID 2062887425, 3 clinicians

Practice addresses (Care Compare)

273 Grandview Ave
Honesdale, PA 18431-1163
Phone (570) 390-4545

702 Church St
Hawley, PA 18428-1412
Phone (272) 338-0101

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP026122PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne Memorial Community Health Centers CurrentSince Jan 6, 2025 Accepting new patients
Wayne Memorial Community Health Centers Nurse Practitioner CurrentSince Jan 6, 2025 Accepting new patients

Locations

273 Grandview Ave
Honesdale, PA 18431
Phone (570) 390-4545

601 Park St
Honesdale, PA 18431
Phone (570) 253-8100

412 Como Rd
Lake Como, PA 18437
Phone (570) 775-7100

Organizations & group practices 3

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1104545581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 SENECA DR",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "183379708",
            "telephone_number": "570-269-9584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 GRANDVIEW AVE",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311163",
            "telephone_number": "570-390-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGBEIN",
        "first_name": "PERRY",
        "middle_name": "JON",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP026122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honesdale, PA

Sources for this page

Verify at the official NPI Registry.