Jennifer Marie Johnson, FNP-C - Medicare Nurse Practitioner in Gary, WV

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Jennifer Marie Johnson, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Gary, West Virginia. Her current practice location is Po Box 507, Gary, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 448-2101.

Jennifer Marie Johnson is licensed to practice in West Virginia (license number 119260) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1205683869.

Contact Information

Jennifer Marie Johnson, FNP-C
Po Box 507,
Gary, WV 24836-0507
(304) 448-2101
Not Available

Map and Direction




Provider's Profile

Full NameJennifer Marie Johnson
GenderFemale
SpecialityNurse Practitioner - Family
LocationPo Box 507, Gary, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205683869
  • Provider Enumeration Date: 05/02/2024
  • Last Update Date: 04/23/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1658814793
  • Enrollment ID: I20240618001953

Medical Identifiers

Medical identifiers for Jennifer Marie Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205683869NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 97296 (West Virginia)Secondary
363LF0000XNurse Practitioner - Family 119260 (West Virginia)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. Jennifer Marie Johnson allows following entities to bill medicare on her behalf.
Entity NameTug River Health Association, Inc
Entity TypePart B Supplier - Public Health/welfare Agency
Entity IdentifiersNPI Number: 1174501068
PECOS PAC ID: 7214820547
Enrollment ID: O20051010000216
Entity NameCabin Creek Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366495525
PECOS PAC ID: 2466431101
Enrollment ID: O20130905000096
Entity NameTug River Health Association, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295033009
PECOS PAC ID: 7214820547
Enrollment ID: O20200213001912
Entity NameTug River Health Association, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639842818
PECOS PAC ID: 7214820547
Enrollment ID: O20220514000276

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. Jennifer Marie 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
Jennifer Marie Johnson, FNP-C
1675 Stewart St,
Welch, WV 24801-2142

Ph: (304) 888-0514		Jennifer Marie Johnson, FNP-C
Po Box 507,
Gary, WV 24836-0507

Ph: (304) 448-2101

Reviews and Comments


Nurse Practitioner Nurses in Gary, WV

Amy Lee West, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5883 Black Diamond Highway, Gary, WV 24836
Phone: 304-448-2101    
Sandra L Estep, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: Route 103 Supply Street, Gary, WV 24836
Phone: 304-448-2101    Fax: 304-448-3217
Lavetta Hutchinson, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: Route 103 Supply Street, Gary, WV 24836
Phone: 304-448-2101    Fax: 304-448-3217
Mrs. Tamera Beth Ball, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 150 Venus Drive, Gary, WV 24836
Phone: 304-448-2121    
Keisha R Saunders, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: Rr 103 Supply Street, Gary, WV 24836
Phone: 304-448-2101    Fax: 304-448-3217

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.