Active NPI
Perry Jon Langbein, CRNP
- Nurse Practitioner
- Honesdale, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP026122
- Practice address
- 273 Grandview Ave
Honesdale, PA 18431-1163 - Phone
- (570) 390-4545
- NPI assigned
- Aug 26, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 18
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.
-
- Federally Qualified Health Center (FQHC)
- Honesdale, PA
- NPI 1952395121
Nurse Practitioner, PA
-
- Federally Qualified Health Center (FQHC)
- Honesdale, PA
- NPI 1346000569
-
- Federally Qualified Health Center (FQHC)
- Lake Ariel, PA
- NPI 1174974232
-
- Federally Qualified Health Center (FQHC)
- Forest City, PA
- NPI 1225304603
-
- Federally Qualified Health Center (FQHC)
- Honesdale, PA
- NPI 1346854270
-
- Federally Qualified Health Center (FQHC)
- Honesdale, PA
- NPI 1407091077
-
- Federally Qualified Health Center (FQHC)
- Hawley, PA
- NPI 1477736254
-
- Federally Qualified Health Center (FQHC)
- Tafton, PA
- NPI 1538531355
-
- Federally Qualified Health Center (FQHC)
- Honesdale, PA
- NPI 1558882720
-
- Federally Qualified Health Center (FQHC)
- Honesdale, PA
- NPI 1568648376
-
- Federally Qualified Health Center (FQHC)
- Lake Como, PA
- NPI 1669654596
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
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
- Wayne Memorial Community Health CentersThe Lucca Group LLC
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
- Wayne Memorial Hospital
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250110001704 | PA | Practitioner - Nurse Practitioner | 6002344645 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP026122 | PA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wayne Memorial Community Health Centers | Nurse Practitioner | Current | Accepting new patients |
| Wayne Memorial Community Health Centers | Current | Accepting new patients |
Locations
601 Park St
Honesdale, PA 18431
Phone (570) 253-8100
273 Grandview Ave
Honesdale, PA 18431
Phone (570) 390-4545
412 Como Rd
Lake Como, PA 18437
Phone (570) 775-7100
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP026122 | Other | PA | NP LICENSE |
NPI Registry JSON
{
"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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NP LICENSE",
"identifier": "SP026122",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Honesdale, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.