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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 RIEGO DE DIOS 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 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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

About Jon Alvin Riego De Dios Modesto Rn NPPES

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

JON ALVIN RIEGO DE DIOS 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 and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1295235984
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJON ALVIN RIEGO DE DIOS MODESTOCredential: RN
Location Address746 AVENUE DDanville, PA 17821-7635
Mailing Address746 Avenue DDanville, PA 17821-7635 · (928) 209-4048
Phone(928) 209-4048
Sole ProprietorYes
Enumeration DateFebruary 19, 2018
Last NPPES UpdateAugust 27, 20265 updates tracked since enumeration
NPPES CertifiedAugust 27, 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 95118046 (CA), RN-85497 (NM), RN2320628 (MA), 884244 (TX), RN205182 (AZ)
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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jon Alvin Riego De Dios Modesto Rn 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.

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 Riego De Dios Modesto's NPI number?

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

Where is Jon Alvin Riego De Dios Modesto located?

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

What is Jon Alvin Riego De Dios 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 Riego De Dios Modesto enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jon Alvin Riego De Dios Modesto was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 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.