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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JON ALVIN MODESTO RN
NPI 1295235984
Nurse Practitioner - Psychiatric/Mental Health in Danville, PA

Active since February 19, 2018PECOS Enrolled
746 AVENUE D, DANVILLE, PA 17821(928) 209-4048(570) 961-3364 Get Directions Write a Review

NPPES record last updated: October 19, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 27, 2026, Aug 15, 2026, Jul 28, 2026 and 2 more (5 updates tracked since 2018).

About Jon Alvin Modesto Rn NPPES

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

JON ALVIN MODESTO RN (NPI 1295235984) is an individual psychiatric/mental health provider in Danville, Pennsylvania, licensed in Pennsylvania (SP036426) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2026).

NPPES Registry Identity

NPI1295235984
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJON ALVIN MODESTOCredential: RN
Location Address746 AVENUE DDanville, PA 17821-7635
Mailing Address746 Avenue DDanville, PA 17821-7635 · (928) 209-4048 · Fax (570) 961-3364
Phone(928) 209-4048
Fax(570) 961-3364
Sole ProprietorYes
Medical School CMSOtherGraduated 2026
Enumeration DateFebruary 19, 2018
Last NPPES UpdateOctober 19, 20265 updates tracked since enumeration
NPPES CertifiedOctober 19, 2026
✔ NPI 1295235984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in PA · SP036426
Also ListedRegistered NurseTaxonomy 163W00000X · License RN-85497 (NM), RN2320628 (MA), 884244 (TX), RN205182 (AZ), 95118046 (CA)
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License RN712916 (PA)
746 AVENUE D, Danville, PA 17821
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1308 E 2nd StBloomsburg, PA 17815-1869 · Phone (570) 961-3361 · Fax (570) 961-3364
Location 21083 Bloom RdDanville, PA 17821-6789 · Phone (570) 961-3361 · Fax (570) 961-3364

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jon Alvin Modesto Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234698382
PECOS Enrollment IDI20260828001169
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 Jon Alvin Modesto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

John G Kuna Psy D & Associates LLC
56 mi
Clinical
4101 BIRNEY AVE
Moosic, PA 18507
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 33 clinicians in this Medicare group
NPI 1487936654 (570) 961-3361

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 17821 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.

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 Jon Alvin Modesto's NPI number?

The NPI number for Jon Alvin Modesto is 1295235984. It was assigned to this individual provider in the NPPES registry on February 19, 2018.

Where is Jon Alvin Modesto located?

Jon Alvin Modesto practices at 746 Avenue D, Danville, PA 17821. The listed phone number is (928) 209-4048.

What is Jon Alvin Modesto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jon Alvin Modesto enrolled in Medicare?

Yes. Jon Alvin Modesto is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jon Alvin Modesto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jon Alvin Modesto reassigns Medicare benefits to John G Kuna Psy D & Associates LLC (Moosic, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jon Alvin Modesto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jon Alvin Modesto was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.