NERI AYLLON-VERGARA CRNP
NPI 1285346064
Nurse Practitioner - Family in Lebanon, PA

Q: What is Neri Ayllon-vergara's NPI number?

The NPI number for Neri Ayllon-vergara is 1285346064. It was assigned to this individual provider in the NPPES registry on December 23, 2022.

Q: What is Neri Ayllon-vergara's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since December 23, 2022PECOS Enrolled

920 CHURCH ST, LEBANON, PA 17046(717) 769-4744 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 14, 2023, Feb 14, 2023, Dec 23, 2022 (3 updates tracked since 2022).

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About Neri Ayllon-vergara Crnp NPPES

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

NERI AYLLON-VERGARA CRNP (NPI 1285346064) is an individual family provider in Lebanon, Pennsylvania, licensed in Pennsylvania (SP026865) and active in the NPI registry since December 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285346064

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameNERI AYLLON-VERGARACredential: CRNP

Location Address920 CHURCH STLebanon, PA 17046-4656

Mailing Address920 Church StLebanon, PA 17046-4656

Phone(717) 769-4744

Sole ProprietorNo

Enumeration DateDecember 23, 2022

Last NPPES UpdateMarch 14, 20233 updates tracked since enumeration

NPPES CertifiedMarch 14, 2023

✔ NPI 1285346064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in PA · SP026865

920 CHURCH ST, Lebanon, PA 17046

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Neri Ayllon-vergara Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Neri Ayllon-vergara reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Union Community Care

Same address

Federally Qualified Health Center (FQHC)

920 CHURCH ST
Lebanon, PA 17046

Reassigned Medicare billing, Pennsylvania enrollment
94 clinicians in this Medicare group

NPI 1841785607 (717) 299-6371

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17046 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.

Other Providers at the Same Location NPPES 9

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

JONATHAN DAVID SANGER CRNP

Nurse Practitioner (Family)