MORGAN PONTILLO (CRNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1679258099

MORGAN PONTILLO (CRNP) is a healthcare provider. based in Lebanon, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. SP027748 (PA). The NPI Number for MORGAN PONTILLO (CRNP) is 1679258099

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
MORGAN PONTILLO (CRNP)
NPI
1679258099
Phone
(717) 821-8017
Address
252 S 4th St
Enumeration Date
21 June 2023
Last Update Date
20 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2023 (3 years ago)
PAC ID
2769838358
Group Practice PAC ID
1951213115
Professional Enrollment ID
I20231102002896
Address ID
PA172682353WA501XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for MORGAN PONTILLO (CRNP)

  • 252 S 4th St

    Lebanon, PA 170426111

    Phone: (717) 821-8017

    Type: Location

  • 283 S Butler Rd

    Lebanon, PA 170428939

    Phone: (717) 273-8871

    Type: Location

  • 147 Gettys St

    Gettysburg, PA 173252534

    Phone: (717) 334-2121

    Type: Location

  • 3 Hospital Dr

    Lewisburg, PA 178379362

    Phone: (570) 524-6766

    Type: Location

  • 1001 S George St

    York, PA 174033676

    Phone: (717) 851-2304

    Type: Location

  • 967 Treasure Lk

    Du Bois, PA 158019022

    Phone: (814) 591-2907

    Type: Location

  • 169 Martin Ave

    Ephrata, PA 175221734

    Phone: (717) 733-0311

    Type: Location

  • 601 MEMORY LN

    YORK, PA 174022231

    Phone: (717) 851-1405

    Fax: (717) 851-6969

    Type: Mailing

  • 112 N 7TH ST

    CHAMBERSBURG, PA 172011720

    Phone: (717) 267-7771

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $42.

Total Amount is formed as General ($42) + Research ($0) + Ownership ($0) = $42.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($22).

Total Amount

$42

General + Research + Ownership

Payments

2

Total payment records

General Amount

$42

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-11-02

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
I20231102002896INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 17042)

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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: 1951213115View full group profile
NameSpecialtyState
Family PracticePA
-PA
-PA
N E U R O L O G YSC
Physician AssistantPA
Hospitalist, Internal MedicinePA
Certified Registered Nurse Anesthetist (Crna)PA
Physician AssistantPA
Family PracticePA
Internal Medicine, Pulmonary Disease, Sleep MedicinePA

Reviews

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Frequently asked questions

What federal number belongs to MORGAN PONTILLO (CRNP)?
The federal identifier for MORGAN PONTILLO (CRNP) is NPI 1679258099.
Is MORGAN PONTILLO (CRNP)'s NPI currently valid?
The extract we use shows MORGAN PONTILLO (CRNP) as active.
Does MORGAN PONTILLO (CRNP) list a primary specialty?
If you are matching referrals, note Psychiatric/Mental Health Nurse Practitioner for MORGAN PONTILLO (CRNP). Clinical services aligned with this taxonomy classification.
Where does public data place MORGAN PONTILLO (CRNP)?
The snapshot lists Lebanon, Pennsylvania for MORGAN PONTILLO (CRNP); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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