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DENISE A PFINGSTLER-JOHNSON CRNP
NPI 1962979336
Nurse Practitioner in Du Bois, PA

Active since October 24, 2018PECOS EnrolledAccepts Medicare Assignment
190 W PARK AVE STE 6, DU BOIS, PA 15801(814) 371-7590 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 25, 2022, Oct 24, 2018 (2 updates tracked since 2018).

About Denise A Pfingstler-johnson Crnp NPPES

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

DENISE A PFINGSTLER-JOHNSON CRNP (NPI 1962979336) is an individual nurse practitioner in Du Bois, Pennsylvania, licensed in Pennsylvania (SP019450) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, is affiliated with Penn Highlands Dubois, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1962979336
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDENISE A PFINGSTLER-JOHNSONCredential: CRNP
Location Address190 W PARK AVE STE 6Du Bois, PA 15801-2277
Mailing Address190 W Park Ave Ste 6Du Bois, PA 15801-2277 · (814) 371-7590
Phone(814) 371-7590
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 24, 2018
Last NPPES UpdateJuly 25, 20222 updates tracked since enumeration
NPPES CertifiedJuly 25, 2022
✔ NPI 1962979336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · SP019450
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.
190 W PARK AVE STE 6, Du Bois, PA 15801
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health.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

Denise A Pfingstler-johnson 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 ID4789928060
PECOS Enrollment IDI20181128001536
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 Reassignments

3

Medicare enrollment records show Denise Pfingstler-johnson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Du Bois Nephrology Associates, PC
0.5 mi
Nephrology
190 W PARK AVE
Du Bois, PA 15801
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Dubois Nephrology Associates P C
  • 6 clinicians in this Medicare group
NPI 1518905900 (814) 371-7590
Punxsutawney Area Hospital Inc
17 mi
General Acute Care Hospital
81 HILLCREST DR
Punxsutawney, PA 15767
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 87 clinicians in this Medicare group
NPI 1265449870 (814) 938-1800
Nps Physicians Pittsburgh, LLC
77 mi
Nephrology
5171 LIBERTY AVE
Pittsburgh, PA 15224
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 47 clinicians in this Medicare group
NPI 1679137517 (412) 246-4567

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 4

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

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390086
Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Punxsutawney Area Hospital

Acute Care Hospitals · Punxsutawney, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390199
Location81 Hillcrest DrivePunxsutawney, PA 15767 · Jefferson County
Emergency services Birthing friendly

Penn Highlands Brookville

Critical Access Hospitals · Brookville, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number391312
Location100 Hospital RoadBrookville, PA 15825 · Jefferson County
Emergency services

Penn Highlands Elk

Critical Access Hospitals · Saint Marys, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number391315
Location763 Johnsonburg RoadSaint Marys, PA 15857 · Elk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15801 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 2

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

Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims1,440 services$0.20 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
1 supplier11 claims11 services$18.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Denise Pfingstler-johnson's NPI number?

The NPI number for Denise Pfingstler-johnson is 1962979336. It was assigned to this individual provider in the NPPES registry on October 24, 2018.

Where is Denise Pfingstler-johnson located?

Denise Pfingstler-johnson practices at 190 W Park Ave Ste 6, Du Bois, PA 15801. The listed phone number is (814) 371-7590.

What is Denise Pfingstler-johnson's specialty?

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

Is Denise Pfingstler-johnson enrolled in Medicare?

Yes. Denise Pfingstler-johnson 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 Denise Pfingstler-johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Denise Pfingstler-johnson reassigns Medicare benefits to 3 organizations: Du Bois Nephrology Associates, PC (Du Bois, PA), Punxsutawney Area Hospital Inc (Punxsutawney, PA) and Nps Physicians Pittsburgh, LLC (Pittsburgh, PA). 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 Denise Pfingstler-johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Denise Pfingstler-johnson accept?

Health plans from Ambetter Health and Ambetter from Buckeye Health Plan list Denise Pfingstler-johnson 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 Denise Pfingstler-johnson affiliated with any hospitals?

According to CMS data, Denise Pfingstler-johnson is affiliated with Penn Highlands Dubois, Punxsutawney Area Hospital, Penn Highlands Brookville and Penn Highlands Elk.

When was this NPI record last updated?

The NPPES record for Denise Pfingstler-johnson was last updated on July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.