| Mrs Brandi Johnson, MSN, RN, ACNP-BC | |
|
1441 Florida Ave, Modesto, CA 95350-4404 | |
| (209) 342-3108 | |
| Not Available |
| Full Name | Mrs Brandi Johnson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 1441 Florida Ave, Modesto, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407193378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 95011779 (California) | Primary |
| 363L00000X | Nurse Practitioner | 872266 (Mississippi) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kandu Medical Services West Pc | 4082050711 | 6 |
| Vitalcare Health Services Pc | 2264961861 | 39 |
| Vitalcare Health Services Pc | 2264961861 | 39 |
| Vitalcare Health Services Pc | 2264961861 | 39 |
| Vitalcare Health Services Pc | 2264961861 | 39 |
| Vitalcare Health Services Pc | 2264961861 | 39 |
| Entity Name | St. Dominic Jackson Memorial |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235173691 PECOS PAC ID: 4385531847 Enrollment ID: O20040301000818 |
| Entity Name | App Of Mississippi Ed Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730687740 PECOS PAC ID: 3971865858 Enrollment ID: O20180313002534 |
| Entity Name | Signify Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210323002802 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Brandi Johnson, MSN, RN, ACNP-BC 1441 Florida Ave, Modesto, CA 95350-4418 Ph: (209) 342-3108 | Mrs Brandi Johnson, MSN, RN, ACNP-BC 1441 Florida Ave, Modesto, CA 95350-4404 Ph: (209) 342-3108 |
Anissa Brown, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 Standiford Ave, Modesto, CA 95350 Phone: 209-676-3069 | |
Nameeta Heer, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1316 Celeste Dr, Modesto, CA 95355 Phone: 209-571-1055 | |
Mrs. Lois Elaine Lewis, RN NURSE PRACTITIONE Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 205 W Granger Ave, Modesto, CA 95350 Phone: 209-579-9930 Fax: 209-579-9941 | |
Ms. Margaret Baker, FNPC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1448 Florida Ave, Modesto, CA 95350 Phone: 209-523-1884 Fax: 209-523-2566 | |
Ms. Fantine Warda, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1700 Coffee Rd, Modesto, CA 95355 Phone: 209-526-4500 Fax: 209-572-7901 | |
Malarkodi Gunasekaran, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-550-4755 Fax: 510-491-7522 | |
Shararah Aziz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 Standiford Ave, Modesto, CA 95350 Phone: 209-676-3069 |