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

David P Johnson, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Winamac, Indiana. His current practice location is 540 Hospital Dr, Winamac, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 946-2194.

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
	540 Hospital Dr, Winamac, IN 46996-1173
	(574) 946-2194
	(546) 946-2143

Map and Direction

Provider's Profile

Full Name	David P Johnson
Gender	Male
Speciality	Nurse Practitioner - Family
Location	540 Hospital Dr, Winamac, Indiana
Accepts Medicare Assignments	Medicare 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: 09/08/2025

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.

Identifier	Type	State	Issuer
1174237705	NPI	-	NPPES
71013448A	Other	IN	APRN PRECRIPTION AUTHORITY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse 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 Name	Medstat Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942388368 PECOS PAC ID: 3476526476 Enrollment ID: O20040817001482

Entity Name	Kosciusko Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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 Address	Practice Location Address
David P Johnson, FNP-C 10229 Carriage Ct, Plymouth, IN 46563-9191 Ph: (574) 936-1916	David P Johnson, FNP-C 540 Hospital Dr, Winamac, IN 46996-1173 Ph: (574) 946-2194

Reviews and Comments

Nurse Practitioner Nurses in Winamac, IN

Ms. Tina M Wright, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2418 Curtis Dr, Suite B, Winamac, IN 46996 Phone: 574-946-7900 Fax: 574-946-7936
Nadine Alene Nufer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 540 Hospital Dr, Winamac, IN 46996 Phone: 574-946-2194
Whitney Dawn Scheffer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 540 Hospital Dr, Winamac, IN 46996 Phone: 574-946-2194
Alexa Good, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 540 Hospital Dr, Winamac, IN 46996 Phone: 574-946-2194
Samantha J Pugh, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 540 Hospital Dr, Winamac, IN 46996 Phone: 574-946-2194
Rebecca Marie Anderson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 540 Hospital Dr, Winamac, IN 46996 Phone: 574-946-2194

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