MR. JUSDAN GUY GRIFFITH (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1114642600

MR. JUSDAN GUY GRIFFITH (PMHNP-BC) is a healthcare provider. based in Johnstown, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. RN700632 (PA). The NPI Number for MR. JUSDAN GUY GRIFFITH (PMHNP-BC) is 1114642600

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
MR. JUSDAN GUY GRIFFITH (PMHNP-BC)
NPI
1114642600
Phone
(814) 534-0745
Address
119 WALNUT ST
Enumeration Date
6 October 2022
Last Update Date
22 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8145340745
Graduation Year
2022 (4 years ago)
PAC ID
2062868987
Group Practice PAC ID
0244277234
Professional Enrollment ID
I20231030002091
Address ID
PA159011625JO119XXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:3State licenses:2Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for MR. JUSDAN GUY GRIFFITH (PMHNP-BC)

  • 119 WALNUT ST

    JOHNSTOWN, PA 159011625

    Phone: (814) 534-0745

    Fax: (814) 536-5431

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 203 Open Payments records for all available years, with a total value of $3,206.

Total Amount is formed as General ($3,206) + Research ($0) + Ownership ($0) = $3,206.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($1,313).

Total Amount

$3,206

General + Research + Ownership

Payments

203

Total payment records

General Amount

$3,206

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-10-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231030002091INurse PractitionerPATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 15901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244277234View full group profile
NameSpecialtyState
-PA
Clinical PsychologistPA
Mental Health CounselorPA
Clinical Social WorkerPA
-PA
P S Y C H I A T R YPA
Mental Health CounselorPA
P S Y C H I A T R YPA
-PA
Mental Health CounselorPA

Reviews

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Frequently asked questions

What is the registry number for MR. JUSDAN GUY GRIFFITH (PMHNP-BC)?
The registry entry for MR. JUSDAN GUY GRIFFITH (PMHNP-BC) shows NPI 1114642600.
Does the public listing show MR. JUSDAN GUY GRIFFITH (PMHNP-BC) as active?
MR. JUSDAN GUY GRIFFITH (PMHNP-BC)'s NPI record reflects an active status in NPPES.
What type of care does MR. JUSDAN GUY GRIFFITH (PMHNP-BC) provide?
MR. JUSDAN GUY GRIFFITH (PMHNP-BC)'s profile centers on Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to MR. JUSDAN GUY GRIFFITH (PMHNP-BC)?
The directory associates MR. JUSDAN GUY GRIFFITH (PMHNP-BC) with Johnstown, Pennsylvania. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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