MISS NANCY DEFIBAUGH PYLE CRNP
NPI 1639370406
Nurse Practitioner - Family in Everett, PA

Active since May 30, 2007PECOS EnrolledAccepts Medicare Assignment
78.53/100
CMS Quality Rating
10455 LINCOLN HWY, EVERETT, PA 15537(814) 623-3513 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2025, Aug 2, 2019 (2 updates tracked since 2019).

About Miss Nancy Defibaugh Pyle Crnp NPPES

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

MISS NANCY DEFIBAUGH PYLE CRNP (NPI 1639370406) is an individual family provider in Everett, Pennsylvania, licensed in Pennsylvania (SP002324B) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Upmc Altoona, and maintains a secondary practice location in Chambersburg.

NPPES Registry Identity

NPI1639370406
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMISS NANCY DEFIBAUGH PYLECredential: CRNP
Location Address10455 LINCOLN HWYEverett, PA 15537-7046
Mailing Address840 S Juliana StBedford, PA 15522-1930 · (814) 623-1438
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateMay 30, 2007
Last NPPES UpdateJune 20, 20252 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
NPI 1639370406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in PA · SP002324B Licensed in CO · APN.0993101-NP
10455 LINCOLN HWY, Everett, PA 15537

Secondary Practice Location 1

Location 112 St Paul DrChambersburg, PA 17201-1035 · Phone (717) 217-6886 · Fax (717) 217-6896

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

Miss Nancy Defibaugh Pyle 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 ID3678708849
PECOS Enrollment IDI20131023001521
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 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.
278 services255 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.
162 services68 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
64 services31 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.
38 services30 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Upmc Altoona

Acute Care Hospitals · Altoona, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390073
Location620 Howard AvenueAltoona, PA 16601 · Blair County
Emergency services Birthing friendly

Wellspan Waynesboro Hospital

Acute Care Hospitals · Waynesboro, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390138
Location501 East Main StWaynesboro, PA 17268 · Franklin County
Emergency services

Wellspan Chambersburg Hospital

Acute Care Hospitals · Chambersburg, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390151
Location112 North Seventh StreetChambersburg, PA 17201 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15537 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.

78.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.61
Promoting Interoperability100
Improvement Activities40
Cost53.82

Referred Medical Equipment & Supplies CMS DME claims 9

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers36 claims36 services$40.41 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers25 claims25 services$102.29 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers20 claims51 services$39.36 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers13 claims68 services$21.55 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers18 claims18 services$62.49 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
7 suppliers28 claims28 services$20.11 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.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
10455 LINCOLN HWY, SPECIALTY SERVICES,
EVERETT, PA 15537
Radiology (Diagnostic Radiology)
10455 LINCOLN HWY
EVERETT, PA 15537
Emergency Medicine
10455 LINCOLN HWY
EVERETT, PA 15537
Nurse Practitioner (Acute Care)
10455 LINCOLN HWY
EVERETT, PA 15537
Physician Assistant
10455 LINCOLN HWY
EVERETT, PA 15537
Anesthesiology
10455 LINCOLN HWY
EVERETT, PA 15537
Speech-Language Pathologist
10455 LINCOLN HWY
EVERETT, PA 15537
Occupational Therapy Assistant
10455 LINCOLN HWY
EVERETT, PA 15537

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 Nancy Pyle's NPI number?

The NPI number for Nancy Pyle is 1639370406. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Where is Nancy Pyle located?

Nancy Pyle practices at 10455 Lincoln Hwy, Everett, PA 15537. The listed phone number is (814) 623-3513.

What is Nancy Pyle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nancy Pyle enrolled in Medicare?

Yes. Nancy Pyle 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.

Is Nancy Pyle affiliated with any hospitals?

According to CMS data, Nancy Pyle is affiliated with Upmc Altoona, Wellspan Waynesboro Hospital and Wellspan Chambersburg Hospital.

When was this NPI record last updated?

The NPPES record for Nancy Pyle was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.