Jon Alvin Modesto, RN
NPI 1295235984ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Danville, PA
Nurse Practitioner, Psych/Mental Health (RN) in Danville, Pennsylvania, licensed in PA, NM, MA and TX and other states, with an NPI issued in February 2018. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1295235984 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RN |
| Sole proprietor | Yes |
| NPI issued | Feb 19, 2018 |
| Last updated in NPPES | Oct 19, 2026 |
| Certified by provider | Oct 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | SP036426 | PA |
| Registered Nurse | 163W00000X | RN-85497 | NM |
| Registered Nurse, Emergency | 163WE0003X | RN712916 | PA |
| Registered Nurse | 163W00000X | RN2320628 | MA |
| Registered Nurse | 163W00000X | 884244 | TX |
| Registered Nurse | 163W00000X | RN205182 | AZ |
| Registered Nurse | 163W00000X | 95118046 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (PA) |
|---|
Education and affiliations
| Graduation year | 2026 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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