Individual provider Active NPI

Jancy A Molethu, CRNP

  • Gerontology Nurse Practitioner
  • Langhorne, PA
National Provider Identifier
1639860406
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
SP027458 Issued in PA
Practice address
100 N Buckstown Rd Ste E206
Langhorne, PA 19047-1815
Phone
(215) 741-1963
Fax
(215) 741-1914
NPI assigned
May 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X SP027458 PA Primary

Addresses

Primary practice location

100 N Buckstown Rd Ste E206
Langhorne, PA 19047-1815

Mailing address

100 N Buckstown Rd Ste E206
Langhorne, PA 19047-1815
Phone (215) 741-1963

Other practice location 1

8350 Roosevelt Blvd
Philadelphia, PA 19152-2531
Phone (268) 284-0304

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230602000768 PA Practitioner - Nurse Practitioner 9638536824 Reassigns benefits to 5 organizations

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
Mercer Bucks Medical Associates PCGroup PAC ID 9133024508, 44 clinicians

Practice addresses (Care Compare)

1411 Woodbourne Rd
Levittown, PA 19057-1540
Phone (215) 943-2000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP027458PAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Nov 17, 2024 Accepting new patients
Hammad Raza PC CurrentSince Mar 1, 2025 Accepting new patients
Abington Rehabilitation Associates, LLC CurrentSince Apr 1, 2024 Accepting new patients
Mercer Bucks Medical Associates, P.C. CurrentSince Mar 24, 2024 Accepting new patients
Comprehensive Care Medical Associates P C CurrentSince May 16, 2023 Accepting new patients
Medical Director Services PC CurrentSince May 3, 2025 Accepting new patients

Locations

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

100 N Buckstown Rd
Ste E206
Langhorne, PA 19047
Phone (215) 741-1963

1411 Woodbourne Rd
Levittown, PA 19057
Phone (215) 943-8900

120 S Filbert St
Mechanicsburg, PA 17055
Phone (717) 458-0930

1930 S Broad St
Philadelphia, PA 19145
Phone (215) 339-4563

8350 Roosevelt Blvd
Philadelphia, PA 19152
Phone (215) 331-6878

815 Chester Pike
Prospect Park, PA 19076
Phone (610) 586-6262

1130 W Chester Pike
West Chester, PA 19382
Phone (215) 815-7500

2510 Maryland Rd
Ste 150
Willow Grove, PA 19090
Phone (215) 674-3337

611 Easton Rd
Unit 475
Willow Grove, PA 19090

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1639860406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N BUCKSTOWN RD STE E206",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471815",
            "telephone_number": "215-741-1963",
            "fax_number": "215-741-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N BUCKSTOWN RD STE E206",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471815",
            "telephone_number": "215-741-1963",
            "fax_number": "215-741-1914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8350 Roosevelt Blvd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191522531",
            "country_code": "US",
            "telephone_number": "268-284-0304",
            "fax_number": "267-284-0296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLETHU",
        "first_name": "JANCY",
        "middle_name": "A",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP027458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

Verify at the official NPI Registry.