Mr William Glen Johnson, FNP-BC - Medicare Nurse Practitioner in Jourdanton, TX

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Mr William Glen Johnson, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Jourdanton, Texas. He graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Conviva Medical Center Management Of Texas, P.a. and his current practice location is 1105 Oak St Ste A, Jourdanton, Texas. You can reach out to his office (for appointments etc.) via phone at (830) 769-2181.

Mr William Glen Johnson is licensed to practice in Texas (license number AP138051) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1396223970.

Contact Information

Mr William Glen Johnson, FNP-BC
1105 Oak St Ste A,
Jourdanton, TX 78026-2117
(830) 769-2181
(830) 769-2858

Map and Direction




Provider's Profile

Full NameMr William Glen Johnson
GenderMale
SpecialityNurse Practitioner
Experience10 Years
Location1105 Oak St Ste A, Jourdanton, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr William Glen Johnson graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1396223970
  • Provider Enumeration Date: 08/05/2018
  • Last Update Date: 03/26/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 9234560913
  • Enrollment ID: I20200513001115

Medical Identifiers

Medical identifiers for Mr William Glen Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396223970NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP138051 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
South Texas Regional Home HealthPleasanton, TXHome health agency
Methodist Hospital SouthJourdanton, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Conviva Medical Center Management Of Texas, P.a.8729302278143

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. Mr William Glen Johnson allows following entities to bill medicare on his behalf.
Entity NameConviva Medical Center Management Of Texas, P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770988990
PECOS PAC ID: 8729302278
Enrollment ID: O20150112000488
Entity NameVisiting Practitioners & Palliative Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063043255
PECOS PAC ID: 6305276288
Enrollment ID: O20200416001000

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. Mr William Glen 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
Mr William Glen Johnson, FNP-BC
6101 Blue Lagoon Dr Ste 200,
Miami, FL 33126-3168

Ph: (407) 533-6836		Mr William Glen Johnson, FNP-BC
1105 Oak St Ste A,
Jourdanton, TX 78026-2117

Ph: (830) 769-2181

Reviews and Comments


Nurse Practitioner Nurses in Jourdanton, TX

Gina L Campbell, ANP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1901 Highway 97 E, Suite 200, Jourdanton, TX 78026
Phone: 830-569-8147    
Tamara Rodriguez, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1405 E Hwy 97, Jourdanton, TX 78026
Phone: 830-268-6426    Fax: 830-268-6427

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.