David P Johnson, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Winamac, IN
NPI 1174237705 · NPPES record last updated Sep 8, 2025
Key facts
- NPI
- 1174237705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71013448A (IN)
- Practice address
- 540 Hospital Dr
Winamac, IN 46996-1173 - Phone
- (574) 946-2194
- Fax
- (546) 946-2143
- NPI assigned
- Jan 9, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pulaski Memorial Hospital
Practice addresses (Care Compare)
540 Hospital Dr
Winamac, IN 46996-1173
Phone (574) 946-2194
Hospital & facility affiliations
- Pulaski Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.99 of 100
- Quality
- 77.41
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230223002133 | IN | Practitioner - Nurse Practitioner | 7810360732 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71013448A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulaski Memorial Hospital | Current |
Accepting new patients | |
| Pulaski Memorial Hospital | Current |
Accepting new patients | |
| Pulaski Memorial Hospital | Current | 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71013448A | IN | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71013448A | Other | IN | APRN PRECRIPTION AUTHORITY |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | djohnson@pmhnet.com | Direct |
Other providers in Winamac, IN
- Hook-Superx LLC
- Hannah Howell
- Charles Randall Hutton
- Jennifer M Gudas OD, PC
- Brian Alan Johnson
- Clinton L. Kauffman
- Michael Ryan Keller
- Mijin Kim
- Melissa Kletz
- Christine M Knapp
All providers in Winamac, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.