Individual provider Active NPI

Maria Lynn Johnston, CRNP

  • Primary Care Nurse Practitioner
  • Du Bois, PA
National Provider Identifier
1700539798
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
SP025302 Issued in PA
Practice address
90 Beaver Dr BLDG C
Du Bois, PA 15801-2440
Phone
(814) 371-2273
Fax
(814) 371-2500
NPI assigned
Jan 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X SP025302 PA Primary

Addresses

Primary practice location

90 Beaver Dr BLDG C
Du Bois, PA 15801-2440

Mailing address

90 Beaver Dr BLDG C
Du Bois, PA 15801-2440
Phone (814) 371-2273

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ericp@mycarenow.medentdirect.com Direct

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220217001032 PA Practitioner - Nurse Practitioner 5991198855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indiana Healthcare Physician Services IncGroup PAC ID 5294723359, 151 clinicians

Practice addresses (Care Compare)

875 Hospital Rd
Irmc Physician Group
Indiana, PA 15701-3629
Phone (724) 347-7493

879 Hospital Rd
Indiana, PA 15701-3629
Phone (888) 452-4762

90 Beaver Dr
114C
Du Bois, PA 15801-2440
Phone (814) 371-2273

Hospital & facility affiliations

  • Punxsutawney Area Hospital Hospital, Punxsutawney, PA, CCN 390199
  • Penn Highlands Dubois Hospital, Dubois, PA, CCN 390086
  • Penn Highlands Brookville Hospital, Brookville, PA, CCN 391312

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP025302PAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Healthcare Physician Services Inc CurrentSince Jan 29, 2024 Accepting new patients

Locations

90 Beaver Dr
Ste 114C
Du Bois, PA 15801

640 Kolter Dr
Indiana, PA 15701
Phone (724) 357-7196

879 Hospital Rd
Indiana, PA 15701
Phone (724) 349-3031

Organizations & group practices 1

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.

Hospital & facility affiliations 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1700539798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 BEAVER DR BLDG C",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012440",
            "telephone_number": "814-371-2273",
            "fax_number": "814-371-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BEAVER DR BLDG C",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012440",
            "telephone_number": "814-371-2273",
            "fax_number": "814-371-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "MARIA",
        "middle_name": "LYNN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP025302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ericp@mycarenow.medentdirect.com",
            "affiliation": "N",
            "endpointDescription": "My Care Now, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "My Care Now, LLC",
            "address_1": "90 Beaver Dr Bldg C",
            "city": "Du Bois",
            "state": "PA",
            "country_code": "US",
            "postal_code": "158012440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Du Bois, PA

Sources for this page

Verify at the official NPI Registry.