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

Q: 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.

Q: What is Joshua Pingleton's specialty?

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

Q: 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.

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: October 18, 2026.

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

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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

Phone(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

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Accepted Insurance

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

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Joshua Pingleton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kansas University Physicians Inc

0.2 mi

Obstetrics & Gynecology

4000 CAMBRIDGE ST
Kansas City, KS 66160

Reassigned Medicare billing, Kansas enrollment
2,139 clinicians in this Medicare group

NPI 1053457978 (913) 588-1227

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

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

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

Miami County Medical Center

Acute Care Hospitals · La Cygne, KS

OwnershipVoluntary non-profit - Private

CMS Certification Number170109

Location1017 E Market St, Ohfm LacygneLa Cygne, KS 66040 · Linn County

Emergency services

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

Quality

92.24

Promoting Interoperability

100

Improvement Activities

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.

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