Amanda-grace Johnson, DNP - Medicare Nurse Practitioner in Boulder City, NV

Amanda-grace Johnson, DNP is a medicare enrolled "Nurse Practitioner - Family" in Boulder City, Nevada. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Intermountain Medical Holdings Nevada Inc and her current practice location is 1297 Boulder City Pkwy Ste A, Boulder City, Nevada. You can reach out to her office (for appointments etc.) via phone at (702) 294-1919.

Amanda-grace Johnson is licensed to practice in Nevada (license number 816524) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790385136.

Contact Information

Amanda-grace Johnson, DNP
1297 Boulder City Pkwy Ste A,
Boulder City, NV 89005-1854
(702) 294-1919
(702) 294-0072

Map and Direction




Provider's Profile

Full NameAmanda-grace Johnson
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location1297 Boulder City Pkwy Ste A, Boulder City, Nevada
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Amanda-grace Johnson graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1790385136
  • Provider Enumeration Date: 10/26/2020
  • Last Update Date: 10/18/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1658775168
  • Enrollment ID: I20210805001705

Medical Identifiers

Medical identifiers for Amanda-grace Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790385136NPI-NPPES
1790385136MedicaidNV
816524OtherNVSTATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 816524 (Nevada)Secondary
363LF0000XNurse Practitioner - Family 816524 (Nevada)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Boulder City HospitalBoulder city, NVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Intermountain Medical Holdings Nevada Inc7416054622276

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. Amanda-grace Johnson allows following entities to bill medicare on her behalf.
Entity NameHealthcare Partners Medical Group Coats Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487631917
PECOS PAC ID: 5991866303
Enrollment ID: O20100113000898
Entity NameIntermountain Medical Holdings Nevada Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245997279
PECOS PAC ID: 7416054622
Enrollment ID: O20220214001765

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. Amanda-grace 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
Amanda-grace Johnson, DNP
6355 S Buffalo Dr Fl 3,
Las Vegas, NV 89113-2133

Ph: (702) 216-3346
Amanda-grace Johnson, DNP
1297 Boulder City Pkwy Ste A,
Boulder City, NV 89005-1854

Ph: (702) 294-1919

Reviews and Comments


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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.