Neri Ayllon-Vergara, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP026865 Issued in PA

Practice address

920 Church St
Lebanon, PA 17046-4656

Phone

(717) 769-4744

NPI assigned

Dec 23, 2022

Last updated

Mar 14, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: neri.ayllon-vergara.1@14261.direct.athenahealth.com

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.

• Union Community Care

  • Federally Qualified Health Center (FQHC)
  • Lancaster, PA
  • NPI 1134458789
  Medicare reassignment NPD
• Union Community Care

  • Federally Qualified Health Center (FQHC)
  • Lancaster, PA
  • NPI 1417812710
  NPD
• Union Community Care

  • Federally Qualified Health Center (FQHC)
  • New Holland, PA
  • NPI 1942437991
  NPD
• Union Community Care

  • Federally Qualified Health Center (FQHC)
  • Lancaster, PA
  • NPI 1538681283
  NPD (past)
• Union Community Care

  • Federally Qualified Health Center (FQHC)
  • Lancaster, PA
  • NPI 1801853346
  NPD (past)
• Union Community Care

  • Federally Qualified Health Center (FQHC)
  • Lebanon, PA
  • NPI 1831836816
  NPD (past)

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

{
    "created_epoch": "1671753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1285346064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 CHURCH ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170464656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 CHURCH ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170464656",
            "telephone_number": "717-769-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYLLON-VERGARA",
        "first_name": "NERI",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-23",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP026865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Asomaning Akoto
• Addison Atkins
• Stephanie Diane Attig, O.D.
• Vincent Richard Avallone Jr., D.O.
• Allen Robert Ayala, PHARM.D.
• Wendy Babitt, M.D.
• Matthew D Bacharach, MD
• Kaitlyn Bachert, LCSW
• Andrea Bachman, CRNP
• Karen K Bachman, RD

• Family Nurse Practitioner in Lebanon, PA
• Providers in Lebanon, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.