DERICK MOSTOLLER
NPI 1043818032
Nurse Anesthetist, Certified Registered in Johnstown, PA

Q: What is Derick Mostoller's NPI number?

The NPI number for Derick Mostoller is 1043818032. It was assigned to this individual provider in the NPPES registry on October 13, 2020.

Q: What is Derick Mostoller's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Derick Mostoller was last updated on January 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since October 13, 2020Accepts Medicare Assignment

1086 FRANKLIN ST, JOHNSTOWN, PA 15905(814) 534-9000 Get Directions Write a Review

NPPES record last updated: January 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 27, 2022, Mar 10, 2021, Oct 13, 2020 (3 updates tracked since 2020).

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About Derick Mostoller NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERICK MOSTOLLER (NPI 1043818032) is an individual nurse anesthetist, certified registered in Johnstown, Pennsylvania, licensed in Pennsylvania (RN674348) and active in the NPI registry since October 2020. He is affiliated with Conemaugh Nason Medical Center and is a graduate of Other (2020).

NPPES Registry Identity

NPI1043818032

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameDERICK MOSTOLLER

Location Address1086 FRANKLIN STJohnstown, PA 15905-4305

Mailing Address3900 E Indiantown RdJupiter, FL 33477-5085

Phone(814) 534-9000

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateOctober 13, 2020

Last NPPES UpdateJanuary 27, 20223 updates tracked since enumeration

NPPES CertifiedJanuary 27, 2022

✔ NPI 1043818032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in PA · RN674348

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

1086 FRANKLIN ST, Johnstown, PA 15905

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Derick Mostoller 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.

PECOS PAC ID5799199824

PECOS Enrollment IDI20210201000081

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Conemaugh Nason Medical Center

Acute Care Hospitals · Roaring Spring, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390062

Location105 Nason DriveRoaring Spring, PA 16673 · Blair County

Emergency services

Conemaugh Memorial Medical Center

Acute Care Hospitals · Johnstown, PA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number390110

Location1086 Franklin StreetJohnstown, PA 15905 · Cambria County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

MEMORIAL MEDICAL CENTER

General Acute Care Hospital (Children)

1086 FRANKLIN ST
JOHNSTOWN, PA 15905

Cambria County (814) 534-9503

JOSEPH W HENSLEY DO

Emergency Medicine

1086 FRANKLIN ST
JOHNSTOWN, PA 15905

Cambria County (814) 534-3745

NICOLE DOLHI DO

Emergency Medicine

1086 FRANKLIN ST
JOHNSTOWN, PA 15905

Cambria County (814) 534-3745

BRADLEY STEPHEN WINEGARDNER

Surgery

1086 FRANKLIN ST
JOHNSTOWN, PA 15905

Cambria County (814) 534-1660

SAI HARSHA BOBBA MD

Family Medicine

1086 FRANKLIN ST
JOHNSTOWN, PA 15905

Cambria County (814) 534-9364

AYESHA HAQ MD

Internal Medicine

1086 FRANKLIN ST
JOHNSTOWN, PA 15905

Cambria County (814) 534-9408

CHRISTINA DAVIS PA-C

Physician Assistant (Medical)

1086 FRANKLIN ST, E3
JOHNSTOWN, PA 15905

Cambria County (814) 534-5592

MRS. JAMIE ELIZABETH OKOPAL RN, CRNA

Nurse Anesthetist, Certified Registered

1086 FRANKLIN ST
JOHNSTOWN, PA 15905

Cambria County (814) 534-9321

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 Derick Mostoller's NPI number?

The NPI number for Derick Mostoller is 1043818032. It was assigned to this individual provider in the NPPES registry on October 13, 2020.

Where is Derick Mostoller located?

Derick Mostoller practices at 1086 Franklin St, Johnstown, PA 15905. The listed phone number is (814) 534-9000.

What is Derick Mostoller's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Derick Mostoller enrolled in Medicare?

Yes. Derick Mostoller 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.

Is Derick Mostoller affiliated with any hospitals?

According to CMS data, Derick Mostoller is affiliated with Conemaugh Nason Medical Center and Conemaugh Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Derick Mostoller was last updated on January 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.