Mrs Khatriena D Johnson, APRN - Medicare Nurse Practitioner in Melbourne, FL

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Mrs Khatriena D Johnson, APRN is a medicare enrolled "Counselor - Mental Health" in Melbourne, Florida. She graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Grow Healthcare Group Pa and her current practice location is 2020 Commerce Dr, Melbourne, Florida. You can reach out to her office (for appointments etc.) via phone at (321) 952-6000.

Mrs Khatriena D Johnson is licensed to practice in * (Not Available) (license number ) 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 1306557798.

Contact Information

Mrs Khatriena D Johnson, APRN
2020 Commerce Dr,
Melbourne, FL 32904-2335
(321) 952-6000
Not Available

Map and Direction




Provider's Profile

Full NameMrs Khatriena D Johnson
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location2020 Commerce Dr, Melbourne, Florida
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:
  • Mrs Khatriena D Johnson graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1306557798
  • Provider Enumeration Date: 12/07/2022
  • Last Update Date: 02/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5698144426
  • Enrollment ID: I20230211000196

Medical Identifiers

Medical identifiers for Mrs Khatriena D Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306557798NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN11023333 (Florida)Secondary
101YM0800XCounselor - Mental Health (* (Not Available))Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Grow Healthcare Group Pa3476961368706

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. Mrs Khatriena D Johnson allows following entities to bill medicare on her behalf.
Entity NameCircles Of Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215345954
PECOS PAC ID: 8729069380
Enrollment ID: O20040528000379
Entity NameGrow Healthcare Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20210414000053
Entity NameMindset & Recovery Diversified Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518792365
PECOS PAC ID: 9032650486
Enrollment ID: O20240926000123

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. Mrs Khatriena D 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
Mrs Khatriena D Johnson, APRN
400 E Sheridan Rd,
Melbourne, FL 32901-3184

Ph: (321) 722-5200		Mrs Khatriena D Johnson, APRN
2020 Commerce Dr,
Melbourne, FL 32904-2335

Ph: (321) 952-6000

Reviews and Comments



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.