Individual provider Active NPI

Monica Brown-Luke, CRNP

  • Gerontology Nurse Practitioner
  • Lemoyne, PA
National Provider Identifier
1265880678
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
SP016788 Issued in PA
Practice address
3 Walnut St
Suite 100
Lemoyne, PA 17043-1168
Phone
(717) 761-4141
NPI assigned
May 25, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X RN613655 PA
Student in an Organized Health Care Education/Training Program 390200000X
Gerontology Nurse Practitioner 363LG0600X SP016788 PA Primary

Addresses

Primary practice location

3 Walnut St
Suite 100
Lemoyne, PA 17043-1168

Mailing address

409 S 2ND St Ste 2F
Harrisburg, PA 17104-1612
Phone (717) 988-0234

Other practice location 1

810 Sir Thomas Ct Ste 101
Harrisburg, PA 17109-4839
Phone (717) 614-4420

Other identifiers 1

IdentifierTypeStateIssuer
103234605MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mbrownluke48939@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170214000172 PA Practitioner - Nurse Practitioner 3678856838 Reassigns benefits to 1 organization
I20250509000194 VA Practitioner - Nurse Practitioner 3678856838 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP016788PAMDGerontology Nurse Practitioner
RN613655PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Jan 1, 2017 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jan 1, 2017 Accepting new patients
Arthiritis and Osteoporosis Northern Virginia Inc CurrentSince Feb 1, 2025 Accepting new patients

Locations

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

810 Sir Thomas Ct
#101
Harrisburg, PA 17109
Phone (717) 614-4420

3 Walnut St
Ste 100
Wormleysburg, PA 17043
Phone (717) 737-3037

8100 Ashton Ave
Ste 215
Manassas, VA 20109
Phone (703) 361-3255

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HABCDD/Endpoint/HABCDD

Organizations & group practices 4

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": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1265880678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S 2ND ST STE 2F",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041612",
            "telephone_number": "717-988-0234",
            "fax_number": "717-703-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WALNUT ST",
            "address_2": "SUITE 100",
            "city": "LEMOYNE",
            "state": "PA",
            "postal_code": "170431168",
            "telephone_number": "717-761-4141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 Sir Thomas Ct Ste 101",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171094839",
            "country_code": "US",
            "telephone_number": "717-614-4420",
            "fax_number": "717-614-4421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN-LUKE",
        "first_name": "MONICA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-25",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "RN613655",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP016788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103234605",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbrownluke48939@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "3 Walnut St",
            "address_2": "Suite 100",
            "city": "Lemoyne",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170431168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lemoyne, PA

Sources for this page

Verify at the official NPI Registry.