Dr Jessica Ashley Johnson, DNP, PMHNP-BC - Medicare Nurse Practitioner in Riverside, CT

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Dr Jessica Ashley Johnson, DNP, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Riverside, Connecticut. Her current practice location is 1297 E Putnam Ave # 1010, Riverside, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 340-0407.

Dr Jessica Ashley Johnson is licensed to practice in Connecticut (license number 10142) 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 1669124905.

Contact Information

Dr Jessica Ashley Johnson, DNP, PMHNP-BC
1297 E Putnam Ave # 1010,
Riverside, CT 06878-1500
(203) 340-0407
Not Available

Map and Direction




Provider's Profile

Full NameDr Jessica Ashley Johnson
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1297 E Putnam Ave # 1010, Riverside, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669124905
  • Provider Enumeration Date: 01/18/2022
  • Last Update Date: 03/04/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 9739566324
  • Enrollment ID: I20220520000884

Medical Identifiers

Medical identifiers for Dr Jessica Ashley Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669124905NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health F403579-01 (New York)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 10142 (Connecticut)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. Dr Jessica Ashley Johnson allows following entities to bill medicare on her behalf.
Entity NameYale University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205822236
PECOS PAC ID: 9436061736
Enrollment ID: O20031105000015

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. Dr Jessica Ashley 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
Dr Jessica Ashley Johnson, DNP, PMHNP-BC
1297 E Putnam Ave # 1010,
Riverside, CT 06878-1500

Ph: (203) 340-0407		Dr Jessica Ashley Johnson, DNP, PMHNP-BC
1297 E Putnam Ave # 1010,
Riverside, CT 06878-1500

Ph: (203) 340-0407

Reviews and Comments


Nurse Practitioner Nurses in Riverside, CT

Carmen Kokkoros,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1171 E Putnam Ave Ste 2b, Riverside, CT 06878
Phone: 203-629-5800    
Mary Catherine Kelly, PNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 275 Riverside Ave, Riverside, CT 06878
Phone: 203-698-7403    
Zena Vatman, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1239 E Putnam Ave, Riverside, CT 06878
Phone: 866-389-2727    Fax: 401-652-9787
Mrs. Ritu Gupta, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1239 E Putnam Ave, Riverside, CT 06878
Phone: 203-698-4006    
Randa Arbach, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1239 E Putnam Ave, Riverside, CT 06878
Phone: 866-389-2727    
Aigel Khadeeva, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 8 Sunshine Ave, Riverside, CT 06878
Phone: 347-294-9952    

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.