Organization Active NPI

Mongold Medical Services LLC

  • Family Nurse Practitioner
  • Buckhannon, WV
National Provider Identifier
1114887825
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MONGOLD MEDICAL SERVICES LLC
Doing business as
Goldilocks Pediatrics
Practice address
1 Bobcat LN
Buckhannon, WV 26201-2724
Phone
(681) 251-8135
NPI assigned
Nov 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Authorized official

Name
Jessica Mongold, NPNPI 1730777970
Title
Owner/Provider
Phone
(681) 251-8135

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1 Bobcat LN
Buckhannon, WV 26201-2724

Mailing address

1 Bobcat LN
Buckhannon, WV 26201-2724

Other names 1

  • Goldilocks Pediatrics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260408000678 WV Part B Supplier - Clinic/Group Practice 5890260830 Receives reassigned benefits from 1 practitioner
Practice locations: Buckhannon, WV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D2331704Mongold Medical Services Dba Goldilocks Pediatrics1 Bobcat Lane, Buckhannon, WV 26201Certificate of waiverOct 6, 2027

National Provider Directory

National Provider Directory

Locations

1 Bobcat Ln
Buckhannon, WV 26201
Phone (681) 251-8135

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1763078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771891200000",
    "number": "1114887825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BOBCAT LN",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262012724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BOBCAT LN",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262012724",
            "telephone_number": "681-251-8135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONGOLD MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-14",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A",
        "authorized_official_last_name": "MONGOLD",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "681-251-8135",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goldilocks Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buckhannon, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.