Individual provider Active NPI

David P Johnson, FNP-C

  • Family Nurse Practitioner
  • Winamac, IN
National Provider Identifier
1174237705
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71013448A Issued in IN
Practice address
540 Hospital Dr
Winamac, IN 46996-1173
Phone
(574) 946-2194
Fax
(546) 946-2143
NPI assigned
Jan 9, 2023
Last updated
Sep 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71013448A IN Primary

Addresses

Primary practice location

540 Hospital Dr
Winamac, IN 46996-1173

Mailing address

10229 Carriage CT
Plymouth, IN 46563-9191
Phone (574) 936-1916

Other identifiers 1

IdentifierTypeStateIssuer
71013448AOtherINAPRN PRECRIPTION AUTHORITY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address djohnson@pmhnet.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230223002133 IN Practitioner - Nurse Practitioner 7810360732 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulaski Memorial HospitalGroup PAC ID 3173515509, shared by 32 NPIs, 45 clinicians

Practice addresses (Care Compare)

540 Hospital Dr
Winamac, IN 46996-1173
Phone (574) 946-2194

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.99 of 100Reported as apm
Quality
77.41
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71013448AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pulaski Memorial Hospital CurrentSince Aug 1, 2025 Accepting new patients
Pulaski Memorial Hospital Current Accepting new patients
Pulaski Memorial Hospital CurrentSince Aug 1, 2025 Accepting new patients
Pulaski Memorial Hospital Current Accepting new patients

Locations

2 S Pearl St
Knox, IN 46534
Phone (574) 207-5050

540 Hospital Dr
Winamac, IN 46996
Phone (574) 935-4327

616 E 13th St
Winamac, IN 46996
Phone (574) 946-2100

Interoperability endpoints

  • Direct secure messaging: djohnson@pmhnet.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1174237705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10229 CARRIAGE CT",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465639191",
            "telephone_number": "574-936-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 HOSPITAL DR",
            "city": "WINAMAC",
            "state": "IN",
            "postal_code": "469961173",
            "telephone_number": "574-946-2194",
            "fax_number": "546-946-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DAVID",
        "middle_name": "P",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-09",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71013448A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN PRECRIPTION AUTHORITY",
            "identifier": "71013448A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "djohnson@pmhnet.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "540 Hospital Dr",
            "city": "Winamac",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469961173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winamac, IN

Sources for this page

Verify at the official NPI Registry.