Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Derick Mostoller

Individual provider Certified Registered Nurse Anesthetist · NPI 1043818032

Derick Mostoller is a Certified Registered Nurse Anesthetist (CRNA) in Johnstown, Pennsylvania. Qualified in 2020, 6 years ago. Practices with Grove City Anesthesia and Pain Management, PLLC, a 60-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
6
Licensed in
PA
In the registry since
2020
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Practice location Address checks out

1086 Franklin St
Johnstown, PA 15905-4305
Phone: (814) 534-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN674348 (PA)

Record details

NPI number1043818032
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 13, 2020
Last updated in NPPESJanuary 27, 2022
Certification dateJanuary 27, 2022
Mailing address3900 E Indiantown Rd, Jupiter, FL 33477-5085

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Grove City Anesthesia And Pain Management, Pllc — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Johnstown