CARLA JOY LOUGHNER NP-C
NPI 1881911790
Nurse Practitioner - Family in Monroeville, PA

Active since May 02, 2010PECOS EnrolledAccepts Medicare Assignment
3893 WILLIAM PENN HWY, MONROEVILLE, PA 15146(412) 372-4079 Get Directions Write a Review

NPPES record last updated: December 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 20, 2020, Jan 25, 2016 (2 updates tracked since 2016).

About Carla Joy Loughner Np-c NPPES

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

CARLA JOY LOUGHNER NP-C (NPI 1881911790) is an individual family provider in Monroeville, Pennsylvania, licensed in Pennsylvania (SP010807) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, is affiliated with Excela Health Westmoreland Regional Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1881911790
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARLA JOY LOUGHNERCredential: NP-C
Location Address3893 WILLIAM PENN HWYMonroeville, PA 15146-2127
Mailing Address158 Caughy RdGreensburg, PA 15601-5600 · (172) 468-9895
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMay 2, 2010
Last NPPES UpdateDecember 20, 20202 updates tracked since enumeration
NPPES CertifiedDecember 19, 2020
NPI 1881911790 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
License Licensed in PA · SP010807
3893 WILLIAM PENN HWY, Monroeville, PA 15146

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

Carla Joy Loughner 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 ID3779888094
PECOS Enrollment IDI20180518001049
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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
238 services128 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
98 services80 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
51 services49 patients
Nursing facility discharge day management, 30 minutes or less 99315
Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.
34 services29 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
30 services24 patients

Hospital Affiliations CMS Care Compare

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

Excela Health Westmoreland Regional Hospital

Acute Care Hospitals · Greensburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390145
Location532 West Pittsburgh StreetGreensburg, PA 15601 · Westmoreland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15146 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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers11 claims11 services$49.25 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
4 suppliers18 claims18 services$22.69 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier19 claims19 services$9.03 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 16

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

Nurse Practitioner (Family)
3893 WILLIAM PENN HWY
MONROEVILLE, PA 15146
Pharmacist
3893 WILLIAM PENN HWY
MONROEVILLE, PA 15146
Nurse Practitioner (Family)
3893 WILLIAM PENN HWY
MONROEVILLE, PA 15146
Nurse Practitioner (Family)
3893 WILLIAM PENN HWY
MONROEVILLE, PA 15146
Nurse Practitioner (Family)
3893 WILLIAM PENN HWY
MONROEVILLE, PA 15146
Nurse Practitioner
3893 WILLIAM PENN HWY
MONROEVILLE, PA 15146
Pharmacist
3893 WILLIAM PENN HWY
MONROEVILLE, PA 15146
Pharmacist
3893 WILLIAM PENN HWY
MONROEVILLE, PA 15146

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 Carla Loughner's NPI number?

The NPI number for Carla Loughner is 1881911790. It was assigned to this individual provider in the NPPES registry on May 2, 2010.

Where is Carla Loughner located?

Carla Loughner practices at 3893 William Penn Hwy, Monroeville, PA 15146. The listed phone number is (412) 372-4079.

What is Carla Loughner's specialty?

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

Is Carla Loughner enrolled in Medicare?

Yes. Carla Loughner 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 Carla Loughner affiliated with any hospitals?

According to CMS data, Carla Loughner is affiliated with Excela Health Westmoreland Regional Hospital.

When was this NPI record last updated?

The NPPES record for Carla Loughner was last updated on December 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.