Mary Johnson, NP - Medicare Nurse Practitioner in New York, NY

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Mary Johnson, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in New York, New York. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Clifton Springs Sanitarium Co and her current practice location is 228 Park Ave S Ste 16389, New York, New York. You can reach out to her office (for appointments etc.) via phone at (646) 876-8455.

Mary Johnson is licensed to practice in New York (license number 310464) 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 1841861168.

Contact Information

Mary Johnson, NP
228 Park Ave S Ste 16389,
New York, NY 10003-0103
(646) 876-8455
Not Available

Map and Direction




Provider's Profile

Full NameMary Johnson
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location228 Park Ave S Ste 16389, New York, New York
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 Johnson graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1841861168
  • Provider Enumeration Date: 07/07/2021
  • Last Update Date: 03/18/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 1052709839
  • Enrollment ID: I20211027002636

Medical Identifiers

Medical identifiers for Mary Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841861168NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 310464 (New York)Primary
363LA2200XNurse Practitioner - Adult Health NP500225972 (District Of Columbia)Secondary
363LA2200XNurse Practitioner - Adult Health 4704439802 (Michigan)Secondary
363LA2200XNurse Practitioner - Adult Health 0024194096 (Virginia)Secondary
363LA2200XNurse Practitioner - Adult Health RN10028361 (Massachusetts)Secondary
363LA2200XNurse Practitioner - Adult Health R275385 (Maryland)Secondary
363LA2200XNurse Practitioner - Adult Health TPAN35453 (Florida)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Clifton Springs Hospital And ClinicClifton springs, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Clifton Springs Sanitarium Co5092704809228

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 Johnson allows following entities to bill medicare on her behalf.
Entity NameRochester General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356412712
PECOS PAC ID: 0244149474
Enrollment ID: O20031121000644
Entity NameThe Unity Hospital Of Rochester
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760421713
PECOS PAC ID: 9436060969
Enrollment ID: O20031230000038
Entity NameClifton Springs Sanitarium Co
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366505463
PECOS PAC ID: 5092704809
Enrollment ID: O20040525000569
Entity NameWestern New York Medical Practice Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063790608
PECOS PAC ID: 3870767791
Enrollment ID: O20111110000598

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 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 Johnson, NP
169 Madison Ave Ste 381114,
New York, NY 10016-5101

Ph: (646) 876-8455		Mary Johnson, NP
228 Park Ave S Ste 16389,
New York, NY 10003-0103

Ph: (646) 876-8455

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.