MR. JUSDAN GUY GRIFFITH PMHNP-BC
NPI 1114642600
Nurse Practitioner - Psychiatric/Mental Health in Johnstown, PA
About Mr. Jusdan Guy Griffith Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JUSDAN GUY GRIFFITH PMHNP-BC (NPI 1114642600) is an individual psychiatric/mental health provider in Johnstown, Pennsylvania, licensed in Pennsylvania (SP026430) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
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
Mr. Jusdan Guy Griffith Pmhnp-bc 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 Reassignment
Medicare enrollment records show Jusdan Griffith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Johnstown, PA 15901
- Reassigned Medicare billing, Pennsylvania enrollment
- 21 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 15901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
JOHNSTOWN, PA 15901
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 Jusdan Griffith's NPI number?
The NPI number for Jusdan Griffith is 1114642600. It was assigned to this individual provider in the NPPES registry on October 6, 2022.
Where is Jusdan Griffith located?
Jusdan Griffith practices at 119 Walnut St, Johnstown, PA 15901. The listed phone number is (814) 534-0745.
What is Jusdan Griffith's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jusdan Griffith enrolled in Medicare?
Yes. Jusdan Griffith 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 organization bills Medicare for Jusdan Griffith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jusdan Griffith reassigns Medicare benefits to Alternative Community Resource Program, Inc. (Johnstown, PA). The 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 Jusdan Griffith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jusdan Griffith was last updated on February 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mr. Jusdan Guy Griffith, PMHNP-BC · NPI 1114642600
Psychiatric/Mental Health physician in Johnstown, Pennsylvania. Individual provider, active in the CMS NPPES registry since October 6, 2022.
## Identity
- **NPI:** 1114642600 (Entity type: Individual)
- **Enumerated:** October 6, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** SP026430 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 119 WALNUT ST, Johnstown, PA 15901-1625
- **Phone:** (814) 534-0745 · **Fax:** (814) 536-5431
## 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:** Alternative Community Resource Program, Inc. (NPI 1942398839, Johnstown, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** February 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1114642600) · Data from the CMS NPPES public registry.