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JAMES PFLEGING PMHNP-BC
NPI 1427505817
Nurse Practitioner - Psychiatric/Mental Health in Washington, IN

Active since September 02, 2016PECOS Enrolled
97.58/100
CMS Quality Rating
2007 STATE ST, WASHINGTON, IN 47501(812) 254-1558(812) 254-8308 Get Directions Write a Review

NPPES record last updated: February 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jul 26, 2017, Sep 2, 2016 (3 updates tracked since 2016).

About James Pfleging Pmhnp-bc NPPES

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

JAMES PFLEGING PMHNP-BC (NPI 1427505817) is an individual psychiatric/mental health provider in Washington, Indiana, licensed in Indiana (71006513A) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427505817
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJAMES PFLEGINGCredential: PMHNP-BC
Location Address2007 STATE STWashington, IN 47501-8505
Mailing AddressPo Box 556Vincennes, IN 47591-0556 · (812) 494-9501 · Fax (812) 494-9502
Phone(812) 254-1558
Fax(812) 254-8308
Sole ProprietorNo
Enumeration DateSeptember 2, 2016
Last NPPES UpdateFebruary 15, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2026
✔ NPI 1427505817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IN · 71006513A
2007 STATE ST, Washington, IN 47501
Open in Google Maps ↗

Other Identifiers 1

Medicaid201385370IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James Pfleging Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47501 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

BRANDI MCCORD MSW
Social Worker
2007 STATE ST
WASHINGTON, IN 47501
Daviess County (812) 254-1558
GOOD SAMARITAN FAMILY HEALTH CENTER, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
2007 STATE ST
WASHINGTON, IN 47501
Daviess County (812) 254-1558
ANDREA GRABER LSW
Social Worker
2007 STATE ST
WASHINGTON, IN 47501
Daviess County (812) 254-1558
EMILY GARCIA LMFTA
Marriage & Family Therapist
2007 STATE ST
WASHINGTON, IN 47501
Daviess County (812) 295-1558
AMANDA R REED MSW
Social Worker
2007 STATE ST
WASHINGTON, IN 47501
Daviess County (812) 254-1558
TARA D JOLLIFF MSW
Social Worker
2007 STATE ST
WASHINGTON, IN 47501
Daviess County (812) 254-1558
JESSICA LEHMKUHLER MSW
Social Worker
2007 STATE ST
WASHINGTON, IN 47501
Daviess County (812) 254-1558
AMBER NICOLE MATTHEWS FNP
Nurse Practitioner (Family)
2007 STATE ST
WASHINGTON, IN 47501
Daviess County (812) 254-1558

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 James Pfleging's NPI number?

The NPI number for James Pfleging is 1427505817. It was assigned to this individual provider in the NPPES registry on September 2, 2016.

Where is James Pfleging located?

James Pfleging practices at 2007 State St, Washington, IN 47501. The listed phone number is (812) 254-1558.

What is James Pfleging's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is James Pfleging enrolled in Medicare?

Yes. James Pfleging is registered in the Medicare PECOS enrollment system.

What insurance does James Pfleging accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list James Pfleging as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James Pfleging was last updated on February 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.