JOSHUA PINGLETON NP-C
NPI 1609315845
Nurse Practitioner in Kansas City, KS

Active since February 21, 2017PECOS EnrolledAccepts Medicare Assignment
96.6/100
CMS Quality Rating
3901 RAINBOW BLVD, KANSAS CITY, KS 66160(913) 588-5000 Get Directions Write a Review

NPPES record last updated: April 3, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 21, 2017, Feb 21, 2017 (2 updates tracked since 2017).

About Joshua Pingleton Np-c NPPES

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

JOSHUA PINGLETON NP-C (NPI 1609315845) is an individual nurse practitioner in Kansas City, Kansas, licensed in Kansas (77585) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS, is affiliated with University Of Kansas Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1609315845
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJOSHUA PINGLETONCredential: NP-C
Location Address3901 RAINBOW BLVDKansas City, KS 66160-8500
Mailing Address3901 Rainbow BlvdKansas City, KS 66160-8500 · (913) 588-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 21, 2017
Last NPPES UpdateApril 3, 20172 updates tracked since enumeration
NPI 1609315845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in KS · 77585
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 13-111992-022 (KS)
3901 RAINBOW BLVD, Kansas City, KS 66160

Accepted 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

Joshua Pingleton Np-c 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 ID4981989266
PECOS Enrollment IDI20170329001062
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 5

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
92 services79 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
50 services45 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.
19 services18 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.
18 services15 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

University Of Kansas Hospital

Acute Care Hospitals · Kansas City, KS
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number170040
Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County
Emergency services Birthing friendly

Olathe Medical Center

Acute Care Hospitals · Olathe, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170049
Location20333 West 151st StreetOlathe, KS 66061 · Johnson County
Emergency services Birthing friendly

Stormont Vail Hospital

Acute Care Hospitals · Topeka, KS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170086
Location1500 SW 10th AvenueTopeka, KS 66604 · Shawnee County
Emergency services Birthing friendly

Mosaic Life Care At St Joseph

Acute Care Hospitals · Saint Joseph, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260006
Location5325 Faraon StreetSaint Joseph, MO 64506 · Buchanan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66160 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

96.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.24
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
9 suppliers50 claims5,115 services$0.32 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims1,650 services$0.01 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
11 suppliers54 claims54 services$18.23 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
6 suppliers20 claims21 services$12.63 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Speech-Language Pathologist
3901 RAINBOW BLVD
KANSAS CITY, KS 66160
Nurse Anesthetist, Certified Registered
3901 RAINBOW BLVD
KANSAS CITY, KS 66160
Nurse Anesthetist, Certified Registered
3901 RAINBOW BLVD
KANSAS CITY, KS 66160
Nurse Practitioner (Primary Care)
3901 RAINBOW BLVD
KANSAS CITY, KS 66160
Student in an Organized Health Care Education/Training Program
3901 RAINBOW BLVD
KANSAS CITY, KS 66160
Psychologist (Counseling)
3901 RAINBOW BLVD
KANSAS CITY, KS 66160
Family Medicine
3901 RAINBOW BLVD
KANSAS CITY, KS 66160
General Practice
3901 RAINBOW BLVD
KANSAS CITY, KS 66160

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 Joshua Pingleton's NPI number?

The NPI number for Joshua Pingleton is 1609315845. It was assigned to this individual provider in the NPPES registry on February 21, 2017.

Where is Joshua Pingleton located?

Joshua Pingleton practices at 3901 Rainbow Blvd, Kansas City, KS 66160. The listed phone number is (913) 588-5000.

What is Joshua Pingleton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Joshua Pingleton enrolled in Medicare?

Yes. Joshua Pingleton 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 Joshua Pingleton accept?

Health plans from Blue Cross and Blue Shield of Kansas City and Blue Cross and Blue Shield of Kansas, Inc. list Joshua Pingleton 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.

Is Joshua Pingleton affiliated with any hospitals?

According to CMS data, Joshua Pingleton is affiliated with University Of Kansas Hospital, Olathe Medical Center, Stormont Vail Hospital and Mosaic Life Care At St Joseph.

When was this NPI record last updated?

The NPPES record for Joshua Pingleton was last updated on April 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.