| Lisa Marie Johnson, NP | |
| 
					5150 Ronald Reagan Blvd Apt 1110, Johnstown, CO 80534-6802  | |
| (706) 957-2014 | |
| Not Available | 
| Full Name | Lisa Marie Johnson | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 5150 Ronald Reagan Blvd Apt 1110, Johnstown, Colorado | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1922513563 | NPI | - | NPPES | 
| APN.0993584-NP | Other | CO | APRN STATE LICENSE | 
| 9000155505 | Medicaid | CO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APN.0993584-NP (Colorado) | Primary | 
| Entity Name | Meadows Family Medical Center Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1962440412 PECOS PAC ID: 0446151617 Enrollment ID: O20040120000416  | 
| Entity Name | The Little Clinic Of Colorado Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1538354568 PECOS PAC ID: 5597821280 Enrollment ID: O20090304000640  | 
| Entity Name | Keefe Memorial Health Service District | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1366840688 PECOS PAC ID: 8325364441 Enrollment ID: O20150309002177  | 
| Entity Name | Keefe Memorial Health Service District | 
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital | 
| Entity Identifiers | NPI Number: 1366840688 PECOS PAC ID: 8325364441 Enrollment ID: O20170522002532  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lisa Marie Johnson, NP 5150 Ronald Reagan Blvd Apt 1110, Johnstown, CO 80534-6802 Ph: (706) 957-2014  | Lisa Marie Johnson, NP 5150 Ronald Reagan Blvd Apt 1110, Johnstown, CO 80534-6802 Ph: (706) 957-2014  | 
Angela Serrano, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 222 Johnstown Center Dr, Johnstown, CO 80534 Phone: 970-587-4974  | |
Mercedes Sue Safarpour, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4948 Thompson Pkwy Ste A, Johnstown, CO 80534 Phone: 720-361-2302  | |
Cherie Patterson,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4401 Union St, Johnstown, CO 80534 Phone: 970-222-3669  | |
Carole J Way, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4435 Ronald Reagan Blvd, Johnstown, CO 80534 Phone: 970-619-8139 Fax: 970-612-8013  | |
Audrey Michelle St. Denis,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4401 Union St, Johnstown, CO 80534 Phone: 970-619-3400  | |
Rachel Unruh, APRN, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4880 Thompson Pkwy # 116, Johnstown, CO 80534 Phone: 970-619-8139  | |
Alexa Potts, DNP, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4430 Ronald Reagan Boulevard, Suite 6208, Johnstown, CO 80534 Phone: 720-928-6998  |