David P Johnson, FNP-C - Medicare Nurse Practitioner in Warsaw, IN

David P Johnson, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Warsaw, Indiana. His current practice location is 1210 Provident Dr, Warsaw, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 268-4300.

David P Johnson is licensed to practice in Indiana (license number 71013448A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174237705.

Contact Information

David P Johnson, FNP-C
1210 Provident Dr,
Warsaw, IN 46580-3376
(574) 268-4300
Not Available

Map and Direction




Provider's Profile

Full NameDavid P Johnson
GenderMale
SpecialityNurse Practitioner - Family
Location1210 Provident Dr, Warsaw, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174237705
  • Provider Enumeration Date: 01/09/2023
  • Last Update Date: 03/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7810360732
  • Enrollment ID: I20230223002133

Medical Identifiers

Medical identifiers for David P Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174237705NPI-NPPES
71013448AOtherINAPRN PRECRIPTION AUTHORITY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 71013448A (Indiana)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. David P Johnson allows following entities to bill medicare on his behalf.
Entity NameMedstat Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942388368
PECOS PAC ID: 3476526476
Enrollment ID: O20040817001482
Entity NameKosciusko Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932349594
PECOS PAC ID: 5496809956
Enrollment ID: O20090818000398

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David P Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
David P Johnson, FNP-C
10229 Carriage Ct,
Plymouth, IN 46563-9191

Ph: (574) 936-1916
David P Johnson, FNP-C
1210 Provident Dr,
Warsaw, IN 46580-3376

Ph: (574) 268-4300

Reviews and Comments


Nurse Practitioner Nurses in Warsaw, IN

Luann Deafenbaugh, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1520 Provident Dr, Warsaw, IN 46580
Phone: 574-372-3800    Fax: 574-372-5823
Sara M. Vanlaningham, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2235 Dubois Dr, Warsaw, IN 46580
Phone: 574-267-8189    Fax: 574-267-7554
Dr. Amy Deion Stitt, DNP, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 308 S Scott St, Warsaw, IN 46580
Phone: 765-425-5576    
Alissa Whittaker, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2219 Dubois Dr, Warsaw, IN 46580
Phone: 574-371-9550    Fax: 574-376-4793
Tara Janae Little, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1205 Provident Dr Ste A, Warsaw, IN 46580
Phone: 574-269-8383    Fax: 260-479-2911
Mrs. Candace G Lemke, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 850 N Harrison St, Warsaw, IN 46580
Phone: 574-267-1700    
Kayla R Cottrill,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1355 Mariners Dr, Warsaw, IN 46582
Phone: 574-267-6778    Fax: 574-267-3134

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.