PATRICIA G MODESTINO FNP
NPI 1093956609
Nurse Practitioner in Center Valley, PA

Active since March 11, 2009PECOS EnrolledAccepts Medicare Assignment
79.86/100
CMS Quality Rating
3477 CORPORATE PKWY STE 100, CENTER VALLEY, PA 18034(484) 626-0480(484) 896-9002 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 2, 2024, May 3, 2024, Jul 17, 2023 and 2 more (5 updates tracked since 2023).

About Patricia G Modestino Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATRICIA G MODESTINO FNP (NPI 1093956609) is an individual nurse practitioner in Center Valley, Pennsylvania, licensed in Pennsylvania (SP010429) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS, is affiliated with St Lukes Quakertown Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1093956609
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NamePATRICIA G MODESTINOCredential: FNP
Location Address3477 CORPORATE PKWY STE 100Center Valley, PA 18034-8237
Mailing Address1 E Broad St Ste 130Bethlehem, PA 18018-5934 · (484) 626-0480 · Fax (484) 896-9002
Fax(484) 896-9002
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMarch 11, 2009
Last NPPES UpdateAugust 2, 20245 updates tracked since enumeration
NPPES CertifiedAugust 2, 2024
NPI 1093956609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in PA · SP010429
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

3477 CORPORATE PKWY STE 100, Center Valley, PA 18034

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Patricia G Modestino Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022167899
PECOS Enrollment IDI20190731001465
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483
This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.
466 services361 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
59 services27 patients
Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483
This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.
49 services45 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
48 services24 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Lukes Quakertown Hospital

Acute Care Hospitals · Quakertown, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390035
Location3000 St. Luke's DriveQuakertown, PA 18951 · Bucks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18034 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.47
Improvement Activities40
Cost40.85

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
3477 CORPORATE PKWY STE 100
CENTER VALLEY, PA 18034
Counselor (Mental Health)
3477 CORPORATE PKWY STE 100
CENTER VALLEY, PA 18034
Nurse Practitioner (Family)
3477 CORPORATE PKWY STE 100
CENTER VALLEY, PA 18034
Physician Assistant (Medical)
3477 CORPORATE PKWY STE 100
CENTER VALLEY, PA 18034
Nurse Practitioner (Family)
3477 CORPORATE PKWY STE 100
CENTER VALLEY, PA 18034
Counselor (Professional)
3477 CORPORATE PKWY STE 100
CENTER VALLEY, PA 18034
Physician Assistant (Medical)
3477 CORPORATE PKWY STE 100
CENTER VALLEY, PA 18034
Internal Medicine
3477 CORPORATE PKWY STE 100
CENTER VALLEY, PA 18034

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patricia Modestino's NPI number?

The NPI number for Patricia Modestino is 1093956609. It was assigned to this individual provider in the NPPES registry on March 11, 2009.

Where is Patricia Modestino located?

Patricia Modestino practices at 3477 Corporate Pkwy Ste 100, Center Valley, PA 18034. The listed phone number is (484) 626-0480.

What is Patricia Modestino's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Patricia Modestino enrolled in Medicare?

Yes. Patricia Modestino is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Patricia Modestino affiliated with any hospitals?

According to CMS data, Patricia Modestino is affiliated with St Lukes Quakertown Hospital.

When was this NPI record last updated?

The NPPES record for Patricia Modestino was last updated on August 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.