JILL PENTANGELO (CRNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1720403868
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,473 NURSE PRACTITIONER in PA
Provider Addresses for JILL PENTANGELO (CRNP)
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 185071782
Phone: (570) 346-3686
Fax: (570) 558-6838
Type: Mailing
MEDITELECARE OF PENNSYLVANIA, LLC 600 N. 2ND STREET
HARRISBURG, PA 170101782
Phone: (860) 788-6404
Type: Location
P.O. BOX 1595
MIDDLETOWN, CT 06457
Phone:
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: 2014-05-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140502000806 | I | Nurse Practitioner | PA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 1,593 | 192 | $0 |
| 99484 | Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional | 1,318 | 214 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 217 | 58 | $0 |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 79 | 79 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 34 | 12 | $0 |
Insurance plans in this area (ZIP 18507)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | PA | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | CT | |
| Clinical Social Worker | PA | |
| Clinical Social Worker | PA | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT | |
| Clinical Psychologist | PA |
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