Active NPI
Joshua Nason Pettengill, MD
- Emergency Medicine Physician
- Wilkes Barre, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD489040
- Practice address
- 25 Church St
Wilkes Barre, PA 18702-3507 - Phone
- (570) 808-3100
- Fax
- (570) 808-2539
- NPI assigned
- Jun 22, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD489040 | PA | Primary |
Addresses
Primary practice location
25 Church St
Wilkes Barre, PA 18702-3507
Mailing address
100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 808-3100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25 Church St
Wilkes Barre, PA 18765-0001
Phone (570) 826-3293
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger-HM Joint Venture, LLC | Single Specialty | Current | Accepting new patients |
| Geisinger Clinic | Single Specialty | Current | Accepting new patients |
| Geisinger Clinic | Single Specialty | Current | Accepting new patients |
| Geisinger-HM Joint Venture, LLC | Single Specialty | Current | Accepting new patients |
| Geisinger-HM Joint Venture LLC | Single Specialty | Current | Accepting new patients |
Locations
100 N Academy Ave
Danville, PA 17822
10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566
255 Route 220 Hwy
Muncy, PA 17756
Phone (570) 308-2600
1000 E Mountain Blvd
Wilkes Barre, PA 18711
Phone (570) 808-7399
25 Church St
Wilkes Barre, PA 18765
Phone (570) 826-3100
25 Church St
Wilkes Barre, PA 18702
Phone (570) 340-5800
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Geisinger Medical Clinic Lock Haven
- Family Medicine Physician
- Lock Haven, PA
- NPI 1144876137
Single Specialty
-
- Internal Medicine Physician
- Muncy, PA
- NPI 1952076119
Single Specialty
-
- Family Medicine Physician
- Williamsport, PA
- NPI 1073075909
Single Specialty
Hospital & facility affiliations 20
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Geisinger Pittston Radiology, a Service of GWV
- Diagnostic Radiology Physician
- Pittston, PA
- NPI 1104292960
Hospital
-
- General Acute Care Hospital
- Wilkes Barre, PA
- NPI 1174822068
-
- General Acute Care Hospital
- Wilkes Barre, PA
- NPI 1275620585
-
dba Geisinger HealthPlex CenterPoint
- General Acute Care Hospital
- Pittston, PA
- NPI 1316692585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752537600000",
"number": "1578132791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N ACADEMY AVE",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178224903",
"telephone_number": "570-808-3100",
"fax_number": "570-808-2539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 CHURCH ST",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187023507",
"telephone_number": "570-808-3100",
"fax_number": "570-808-2539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETTENGILL",
"first_name": "JOSHUA",
"middle_name": "NASON",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-22",
"last_updated": "2025-07-15",
"certification_date": "2025-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MD489040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilkes Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.