JOHANNA HELTON
NPI 1689950511
Nurse Anesthetist, Certified Registered in Jefferson Hills, PA

Active since October 24, 2011Accepts Medicare Assignment
93.78/100
CMS Quality Rating
565 COAL VALLEY RD, JEFFERSON HILLS, PA 15025(412) 469-5000 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 12, 2025, Dec 4, 2024, May 24, 2021 and 1 more (4 updates tracked since 2020).

About Johanna Helton NPPES

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

JOHANNA HELTON (NPI 1689950511) is an individual nurse anesthetist, certified registered in Jefferson Hills, Pennsylvania, licensed in Florida (APRN11039183) and active in the NPI registry since October 2011. She is affiliated with Broward Health Imperial Point, maintains a secondary practice location in Reston, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1689950511
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameJOHANNA HELTON
Location Address565 COAL VALLEY RDJefferson Hills, PA 15025-3703
Mailing Address565 Coal Valley RdJefferson Hills, PA 15025-3703
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateOctober 24, 2011
Last NPPES UpdateJune 12, 20254 updates tracked since enumeration
NPPES CertifiedJune 12, 2025
✔ NPI 1689950511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in FL · APRN11039183✔ Licensed in PA · RN651210✔ Licensed in VA · 0024188615
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
565 COAL VALLEY RD, Jefferson Hills, PA 15025

Secondary Practice Location 1

Location 11850 Town Center PkwyReston, VA 20190-3204 · Phone (703) 471-0919

Accepted 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

Johanna Helton 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 ID6002075298
PECOS Enrollment IDI20250625001932

Medicare Billing Reassignments

7

Medicare enrollment records show Johanna Helton reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
575 COAL VALLEY RD STE 300
Clairton, PA 15025
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,881 clinicians in this Medicare group
Internal Medicine
3089 SUSSEX AVE
Pittsburgh, PA 15226
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
Clinical Medical Laboratory
2608 CRANBERRY SQUARE
Morgantown, WV 26508
  • Reassigned Medicare billing, West Virginia enrollment
  • Medicare enrollment name: West Virginia University Medical Corporation
  • 2,471 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
100 HOSPITAL AVE
Du Bois, PA 15801
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 56 clinicians in this Medicare group
Anesthesiology
1850 TOWN CENTER PKWY
Reston, VA 20190
  • Reassigned Medicare billing, District of Columbia enrollment
  • 125 clinicians in this Medicare group
Anesthesiology
6705 NW 10TH PL
Gainesville, FL 32605
  • Reassigned Medicare billing, Florida enrollment
  • 1,973 clinicians in this Medicare group
Anesthesiology
6101 PINE RIDGE RD
Naples, FL 34119
  • Reassigned Medicare billing, Florida enrollment
  • 767 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare 2

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

Broward Health Imperial Point

Acute Care Hospitals · Fort Lauderdale, FL
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100200
Location6401 N Federal HwyFort Lauderdale, FL 33308 · Broward County

Broward Health Coral Springs

Acute Care Hospitals · Coral Springs, FL
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100276
Location3000 Coral Hills DrCoral Springs, FL 33065 · Broward County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15025 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
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.

Nurse Practitioner
565 COAL VALLEY RD
JEFFERSON HILLS, PA 15025
Nurse Anesthetist, Certified Registered
565 COAL VALLEY RD
JEFFERSON HILLS, PA 15025
Rehabilitation Unit
565 COAL VALLEY RD
CLAIRTON, PA 15025
Nurse Anesthetist, Certified Registered
565 COAL VALLEY RD
JEFFERSON HILLS, PA 15025
Nurse Anesthetist, Certified Registered
565 COAL VALLEY RD
JEFFERSON HILLS, PA 15025
Hospitalist
565 COAL VALLEY RD
JEFFERSON HILLS, PA 15025
Nurse Anesthetist, Certified Registered
565 COAL VALLEY RD
JEFFERSON HILLS, PA 15025
Hospitalist
565 COAL VALLEY RD
CLAIRTON, PA 15025

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 Johanna Helton's NPI number?

The NPI number for Johanna Helton is 1689950511. It was assigned to this individual provider in the NPPES registry on October 24, 2011.

Where is Johanna Helton located?

Johanna Helton practices at 565 Coal Valley Rd, Jefferson Hills, PA 15025. The listed phone number is (412) 469-5000.

What is Johanna Helton's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Johanna Helton enrolled in Medicare?

Yes. Johanna Helton 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.

Which organizations bill Medicare for Johanna Helton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Johanna Helton reassigns Medicare benefits to 7 organizations: Allegheny Clinic (Clairton, PA), University Of Pittsburgh Physicians (Pittsburgh, PA), Wvu Med Corp Cheat Lake Physicians (Morgantown, WV), Dubois Regional Medical Center (Du Bois, PA), Reston Anesthesia Associates, PC (Reston, VA) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Johanna Helton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Johanna Helton accept?

Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Johanna Helton 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 Johanna Helton affiliated with any hospitals?

According to CMS data, Johanna Helton is affiliated with Broward Health Imperial Point and Broward Health Coral Springs.

When was this NPI record last updated?

The NPPES record for Johanna Helton was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.