NPIMap

Individual provider Active NPI

Chavone Dantrell Momon-Nelson, DO

  • Obstetrics & Gynecology Physician
  • Carlisle, PA
National Provider Identifier
1457663106
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD442418 Issued in PA
Practice address
2 Jennifer CT Ste B
Carlisle, PA 17015-7694
Phone
(717) 218-9830
Fax
(717) 218-9833
NPI assigned
Jul 10, 2010
Last updated
Jan 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD442418 PA Primary

Addresses

Primary practice location

2 Jennifer CT Ste B
Carlisle, PA 17015-7694

Mailing address

409 South Second Street
Suite 2F
Harrisburg, PA 17104-1612

Other practice location 1

180 W Albemarle Ave
Lansdowne, PA 19050-1127
Phone (610) 284-3197

Other identifiers 1

IdentifierTypeStateIssuer
1025762400003MedicaidPA

Other names 1

  • Chavone Dantrell Momon Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmomonnelson57493@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110503000142 PA Practitioner - Obstetrics/Gynecology 4486839602 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Philadelphia College of Osteopathic Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

1880 Kenneth Rd
Suite 3
York, PA 17408-6344
Phone (717) 779-2612

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
MD442418PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Regional Physicians Obstetrics & Gynecology CurrentSince Jul 1, 2017 Accepting new patients
Pinnacle Health Regional Physicians Obstetrics & Gynecology CurrentSince Jul 1, 2017 Accepting new patients
Pinnacle Health Medical Services CurrentSince Nov 11, 2018 Accepting new patients
Pinnacle Health Medical Services CurrentSince Nov 11, 2018 Accepting new patients
Pinnacle Health Medical Services Obstetrics & Gynecology Current Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients
Upmc Carlisle Past Accepting new patients

Locations

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

11 Sprint Dr
Ste A
Carlisle, PA 17015
Phone (717) 218-1811

19 Sprint Dr
Ste 2
Carlisle, PA 17015
Phone (717) 218-8880

19 Sprint Dr
Ste 3
Carlisle, PA 17015
Phone (717) 713-2100

2 Jennifer Ct
Ste B
Carlisle, PA 17015
Phone (717) 218-9830

366 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-1900

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

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

1880 Kenneth Rd
Ste 3
York, PA 17408
Phone (717) 291-6752

Interoperability endpoints

  • Direct secure messaging: cmomonnelson297182@upmc.direct-ci.com
  • Direct secure messaging: cmomonnelson57493@phsdirect.pinnaclehealth.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Upmc CarlisleCarlisle, PA, CCN 390058 Hospital Corporate Director Jul 1, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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 9

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": "1278720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1457663106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 SOUTH SECOND STREET",
            "address_2": "SUITE 2F",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 JENNIFER CT STE B",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170157694",
            "telephone_number": "717-218-9830",
            "fax_number": "717-218-9833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 W Albemarle Ave",
            "address_purpose": "LOCATION",
            "city": "Lansdowne",
            "state": "PA",
            "postal_code": "190501127",
            "country_code": "US",
            "telephone_number": "610-284-3197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOMON-NELSON",
        "first_name": "CHAVONE",
        "middle_name": "DANTRELL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-10",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD442418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025762400003",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmomonnelson57493@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "2 Jennifer Ct Ste B",
            "city": "Carlisle",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170157694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHAVONE",
            "last_name": "MOMON",
            "middle_name": "DANTRELL",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carlisle, PA

Sources for this page

Verify at the official NPI Registry.