JUSTIN MOLIGNONI (CRNP) – Family Nurse Practitioner, NPI 1073053773

JUSTIN MOLIGNONI (CRNP) is a healthcare provider. based in Palmyra, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. SP017205 (PA). The NPI Number for JUSTIN MOLIGNONI (CRNP) is 1073053773

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN MOLIGNONI (CRNP)
NPI
1073053773
Phone
(717) 433-5390
Address
309 E MAIN ST
Enumeration Date
28 February 2017
Last Update Date
8 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5705226220
Graduation Year
2016 (10 years ago)
PAC ID
3375829724
Group Practice PAC ID
2567871643
Professional Enrollment ID
I20170601000210
Address ID
PA178376367LE15XXXCIRX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for JUSTIN MOLIGNONI (CRNP)

  • 309 E MAIN ST

    PALMYRA, PA 170781828

    Phone: (717) 433-5390

    Type: Mailing

  • 1700 MARKET ST

    CAMP HILL, PA 170114817

    Phone: (717) 433-5390

    Type: Location

  • 1617 N Front St

    Harrisburg, PA 171022414

    Phone: (717) 236-4682

    Fax: (717) 236-2423

    Type: Location

  • 309 E Main St

    Palmyra, PA 170781828

    Phone: (717) 433-5390

    Type: Location

  • 1617, North Front Street, Midtown Harrisburg, Harrisburg, Dauphin County, Pennsylvania, 17102, United States

    HARRISBURG, PA 171022414

    Phone: (717) 236-4682

    Fax: (717) 236-2423

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-06-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170601000210INurse PractitionerPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes5120$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes4223$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes2115$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 17078)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567871643View full group profile
NameSpecialtyState
Nurse PractitionerNC
Nurse PractitionerTN
Physician AssistantNC
Nurse PractitionerNC
Nurse PractitionerNC
Nurse PractitionerPA
Nurse PractitionerPA
Physician AssistantNC
Nurse PractitionerPA
Nurse PractitionerTN

Reviews

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Frequently asked questions

What is the registry number for JUSTIN MOLIGNONI (CRNP)?
The registry entry for JUSTIN MOLIGNONI (CRNP) shows NPI 1073053773.
Is JUSTIN MOLIGNONI (CRNP)'s NPI status active today?
Active status means JUSTIN MOLIGNONI (CRNP)'s NPI record is not deactivated in the public file.
What type of care does JUSTIN MOLIGNONI (CRNP) provide?
JUSTIN MOLIGNONI (CRNP)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JUSTIN MOLIGNONI (CRNP)?
JUSTIN MOLIGNONI (CRNP) is associated with Palmyra, Pennsylvania in the same public data insurers reference.
Can I export JUSTIN MOLIGNONI (CRNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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