JUSTIN DAVID LOOMIS (FNP) – Nurse Practitioner, NPI 1043763576
Nurse Practitioner
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Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
11,469 NURSE PRACTITIONER in PA
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Provider Addresses for JUSTIN DAVID LOOMIS (FNP)
116, South Elmer Avenue, Sayre, Bradford County, Pennsylvania, 18840, United States
SAYRE, PA 188402006
Phone: (570) 887-2849
Fax: (570) 887-2244
Type: Location
1 GUTHRIE SQ
SAYRE, PA 188401625
Phone: (570) 887-5497
Fax: (570) 887-2244
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $157.
Total Amount is formed as General ($157) + Research ($0) + Ownership ($0) = $157.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($103).
Total Amount
$157
General + Research + Ownership
Payments
6
Total payment records
General Amount
$157
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teva Pharmaceuticals USA, Inc. | $103 |
| ACADIA Pharmaceuticals Inc | $54 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-10-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170516002487 | I | Nurse Practitioner | PA | TBD |
| I20171010003048 | I | Nurse Practitioner | NY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 222 | 88 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 89 | 85 | $0 |
Insurance plans in this area (ZIP 18840)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | NY | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | NY | |
| - | NY | |
| Nurse Practitioner | NY | |
| Physician Assistant | NY | |
| Internal Medicine | NY | |
| Family Practice | NY |
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