Mary Anna Johnson, FNP-BC - Medicare Nurse Practitioner in Wallace, NC

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Mary Anna Johnson, FNP-BC is a medicare enrolled "Nurse Practitioner" in Wallace, North Carolina. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wallace Urgent Care Llc and her current practice location is 207 E Murphy St, Wallace, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 285-4100.

Mary Anna Johnson is licensed to practice in North Carolina (license number 5011650) 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 1720541220.

Contact Information

Mary Anna Johnson, FNP-BC
207 E Murphy St,
Wallace, NC 28466-1946
(910) 285-4100
(910) 285-4766

Map and Direction




Provider's Profile

Full NameMary Anna Johnson
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location207 E Murphy St, Wallace, North Carolina
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:
  • Mary Anna Johnson graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1720541220
  • Provider Enumeration Date: 04/11/2019
  • Last Update Date: 02/24/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5395078869
  • Enrollment ID: I20190615000203

Medical Identifiers

Medical identifiers for Mary Anna Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720541220NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 5011650 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wallace Urgent Care Llc67099679125

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. Mary Anna Johnson allows following entities to bill medicare on her behalf.
Entity NameDaniel M Ricci M.d. P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689673618
PECOS PAC ID: 8729990361
Enrollment ID: O20031103000480
Entity NameWallace Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841259025
PECOS PAC ID: 6709967912
Enrollment ID: O20080222000491
Entity NameUrgent Care Of Wallace Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699372243
PECOS PAC ID: 7911318308
Enrollment ID: O20201116000446

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. Mary Anna 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
Mary Anna Johnson, FNP-BC
Post Office Box 968,
Wallace, NC 28466

Ph: (910) 285-4100		Mary Anna Johnson, FNP-BC
207 E Murphy St,
Wallace, NC 28466-1946

Ph: (910) 285-4100

Reviews and Comments


Nurse Practitioner Nurses in Wallace, NC

Dr. Victoria Baucom Matthews, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 112 Medical Village Dr Ste D, Wallace, NC 28466
Phone: 910-665-1437    
Claudia Compton Smith, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 110 Eastwood Drive, Wallace, NC 28466
Phone: 910-285-2330    Fax: 910-285-3060
Kayla Sholar Walker, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 110 Eastwood Dr, Wallace, NC 28466
Phone: 910-285-2330    
Mrs. Jennifer Nicole Brennan, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 112 Medical Village Dr Ste G, Wallace, NC 28466
Phone: 910-552-1580    
Mrs. Hannah Deanes Ziebol, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 110 Eastwood Dr, Wallace, NC 28466
Phone: 910-285-2330    Fax: 910-320-8429

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.