JUSTIN DAVID LOOMIS FNP
NPI 1043763576
Nurse Practitioner in Sayre, PA
About Justin David Loomis Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUSTIN DAVID LOOMIS FNP (NPI 1043763576) is an individual nurse practitioner in Sayre, Pennsylvania, licensed in Pennsylvania (RN624971) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS, is affiliated with Cayuga Medical Center At Ithaca, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
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 David Loomis Fnp 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.
Medicare Billing Reassignments
3Medicare enrollment records show Justin Loomis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Troy, PA 16947
- Reassigned Medicare billing, Pennsylvania and New York enrollments
- Medicare enrollment name: Guthrie Medical Group PC
- Also billed through NPI 1245246644 (New York)
- 830 clinicians in this Medicare group
Buffalo, NY 14202
- Reassigned Medicare billing, New York enrollment
- 129 clinicians in this Medicare group
Buffalo, NY 14202
- Reassigned Medicare billing, New York enrollment
- 127 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cayuga Medical Center At Ithaca
Acute Care Hospitals · Ithaca, NYUnited Health Services Hospitals, Inc
Acute Care Hospitals · Binghamton, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18840 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
SAYRE, PA 18840
SAYRE, PA 18840
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Justin Loomis's NPI number?
The NPI number for Justin Loomis is 1043763576. It was assigned to this individual provider in the NPPES registry on August 2, 2016.
Where is Justin Loomis located?
Justin Loomis practices at 1 Guthrie Sq, Sayre, PA 18840. The listed phone number is (570) 887-5497.
What is Justin Loomis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Justin Loomis enrolled in Medicare?
Yes. Justin Loomis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Justin Loomis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justin Loomis reassigns Medicare benefits to 3 organizations: Guthrie Medical Group, P.C. (Troy, PA), Mobile Physician Services PLLC (Buffalo, NY) and Physician Mobile Medical Care PC (Buffalo, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Justin Loomis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Justin Loomis affiliated with any hospitals?
According to CMS data, Justin Loomis is affiliated with Cayuga Medical Center At Ithaca and United Health Services Hospitals, Inc.
When was this NPI record last updated?
The NPPES record for Justin Loomis was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Justin David Loomis, FNP · NPI 1043763576
Nurse Practitioner physician in Sayre, Pennsylvania. Individual provider, active in the CMS NPPES registry since August 2, 2016.
## Identity
- **NPI:** 1043763576 (Entity type: Individual)
- **Enumerated:** August 2, 2016
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** RN624971 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 GUTHRIE SQ, Sayre, PA 18840-1625
- **Phone:** (570) 887-5497 · **Fax:** (570) 887-2244
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Guthrie Medical Group, P.C. (NPI 1376592493, Troy, PA); Mobile Physician Services PLLC (NPI 1194132415, Buffalo, NY); Physician Mobile Medical Care PC (NPI 1518765502, Buffalo, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** February 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1043763576) · Data from the CMS NPPES public registry.