JUSTIN THOMAS LONCA APRN
NPI 1972155307
Nurse Practitioner - Gerontology in Canton, OH

Q: What is Justin Lonca's NPI number?

The NPI number for Justin Lonca is 1972155307. It was assigned to this individual provider in the NPPES registry on July 16, 2019.

Q: What is Justin Lonca's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Justin Lonca was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.

Active since July 16, 2019PECOS EnrolledAccepts Medicare Assignment

88.51/100

CMS Quality Rating

236 3RD ST SW, CANTON, OH 44702(330) 754-4431(330) 244-8839 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 8, 2025, Oct 25, 2023, Jul 21, 2021 and 2 more (5 updates tracked since 2019).

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About Justin Thomas Lonca Aprn NPPES

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

JUSTIN THOMAS LONCA APRN (NPI 1972155307) is an individual gerontology provider in Canton, Ohio, licensed in Ohio (APRN.CNP.025153) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with Union Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1972155307

Entity TypeIndividualMale

Primary Taxonomy363LG0600X

Provider Legal NameJUSTIN THOMAS LONCACredential: APRN

Location Address236 3RD ST SWCanton, OH 44702-1607

Mailing Address236 3rd St SwCanton, OH 44702-1607 · (330) 754-4431 · Fax (330) 244-8839

Phone(330) 754-4431

Fax(330) 244-8839

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJuly 16, 2019

Last NPPES UpdateApril 8, 20255 updates tracked since enumeration

NPPES CertifiedApril 8, 2025

✔ NPI 1972155307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LG0600X

License✔ Licensed in OH · APRN.CNP.025153

236 3RD ST SW, Canton, OH 44702

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Justin Thomas Lonca Aprn 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 ID3870823438

PECOS Enrollment IDI20190924002552, I20260430001955

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 Reassignments

Medicare enrollment records show Justin Lonca reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pinnacle Care Providers, LLC

Same address

Internal Medicine

236 3RD ST SW
Canton, OH 44702

Reassigned Medicare billing, Ohio and Pennsylvania enrollments
79 clinicians in this Medicare group

NPI 1578799417 (330) 754-4431

Skill Doc 101, LLC

Same address

Internal Medicine

236 3RD ST SW
Canton, OH 44702

Reassigned Medicare billing, Ohio enrollment
85 clinicians in this Medicare group

NPI 1043647803 (330) 754-4431

Pai Participant 1 LLC

131 mi

Geriatric Medicine

60 MARIETTA RD
Chillicothe, OH 45601

Reassigned Medicare billing, Ohio enrollment
149 clinicians in this Medicare group

NPI 1093371312 (859) 291-4800

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

Areas of Expertise CMS Part B claims 12

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

1,061 services225 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

993 services181 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.

967 services213 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

830 services197 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

395 services88 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

263 services76 patients

Nursing facility discharge management, more than 30 minutes 99316

Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.

43 services41 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

26 services23 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

20 services20 patients

Nursing facility discharge management, more than 30 minutes 99316

18 services18 patients

Advance care planning, first 30 minutes 99497

16 services16 patients

Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344

A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Union Hospital

Acute Care Hospitals · Dover, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360010

Location659 BoulevardDover, OH 44622 · Tuscarawas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44702 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

88.51/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.4

Improvement Activities

Cost

77.15

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

3 suppliers12 claims12 services$8.46 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers12 claims12 services$118.80 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JAMIE PERRINE APRN-CNP

Nurse Practitioner (Family)