1. Home
  2. Directory
  3. Pennsylvania
  4. Sugarloaf
  5. Nurse Practitioner
  6. NPI Profile

MR. ALAN JOSEPH HIMMELSBACH CRNP
NPI 1487624367
Nurse Practitioner - Adult Health in Sugarloaf, PA

Active since January 24, 2006PECOS EnrolledAccepts Medicare Assignment
91.68/100
CMS Quality Rating
8 BROOKHILL SQUARE SOUTH, SUGARLOAF, PA 18249(570) 459-0029(570) 454-5757 Get Directions Write a Review

NPPES record last updated: November 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 8, 2022, Dec 6, 2018 (2 updates tracked since 2018).

About Mr. Alan Joseph Himmelsbach Crnp NPPES

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

MR. ALAN JOSEPH HIMMELSBACH CRNP (NPI 1487624367) is an individual adult health provider in Sugarloaf, Pennsylvania, licensed in Pennsylvania (SP007748) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1487624367
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMR. ALAN JOSEPH HIMMELSBACHCredential: CRNP
Location Address8 BROOKHILL SQUARE SOUTHSugarloaf, PA 18249-1824
Mailing Address8 Brookhill Square SouthSugarloaf, PA 18249-1701 · (570) 459-0029 · Fax (610) 687-5350
Phone(570) 459-0029
Fax(570) 454-5757
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJanuary 24, 2006
Last NPPES UpdateNovember 8, 20222 updates tracked since enumeration
NPPES CertifiedNovember 8, 2022
✔ NPI 1487624367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in PA · SP007748
Also ListedNurse PractitionerTaxonomy 363L00000X · License SP007748 (PA)
8 BROOKHILL SQUARE SOUTH, Sugarloaf, PA 18249
Open in Google Maps ↗

Accepted Insurance

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

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

Mr. Alan Joseph Himmelsbach Crnp 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 ID5698799633
PECOS Enrollment IDI20060118000166
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
441 services76 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
170 services101 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
128 services91 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
106 services85 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
93 services65 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
74 services74 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18249 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

91.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.16
Promoting Interoperability100
Improvement Activities40
Cost78.11

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGAN W HARRIS PA-C
Physician Assistant
8 BROOKHILL SQUARE SOUTH
SUGARLOAF, PA 18249
Luzerne County (570) 459-0029
DR. RICHARD FRANK CORDOVA D.O.
Dermatology
8 BROOKHILL SQUARE SOUTH, SPRING COMMONS
SUGARLOAF, PA 18249
Luzerne County (570) 459-0029
BRITTANY MICHELLE SPINOSA-WEBER PA-C
Physician Assistant (Medical)
8 BROOKHILL SQUARE SOUTH
SUGARLOAF, PA 18249
Luzerne County (570) 459-0029
DERMDOX DERMATOLOGY CENTERS PC
Dermatology
8 BROOKHILL SQUARE SOUTH, 2A
SUGARLOAF, PA 18249
Luzerne County (570) 459-0029
MEGAN LYNN HORVATH NP-C
Nurse Practitioner (Family)
8 BROOKHILL SQUARE SOUTH
SUGARLOAF, PA 18249
Luzerne County (570) 459-0029
SARA NUSINOVIC
Dermatology
8 BROOKHILL SQUARE SOUTH
SUGARLOAF, PA 18249
Luzerne County (570) 459-0029
DR. CHRISTINE E CABELL M.D.
Dermatology
8 BROOKHILL SQUARE SOUTH
SUGARLOAF, PA 18249
Luzerne County (570) 459-0029
LORRAINE ROSAMILIA M.D.
Dermatology
8 BROOKHILL SQUARE SOUTH
SUGARLOAF, PA 18249
Luzerne County (570) 459-0029

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 Alan Himmelsbach's NPI number?

The NPI number for Alan Himmelsbach is 1487624367. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Where is Alan Himmelsbach located?

Alan Himmelsbach practices at 8 Brookhill Square South, Sugarloaf, PA 18249. The listed phone number is (570) 459-0029.

What is Alan Himmelsbach's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Alan Himmelsbach enrolled in Medicare?

Yes. Alan Himmelsbach 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.

What insurance does Alan Himmelsbach accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Alan Himmelsbach 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 Alan Himmelsbach was last updated on November 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.