| Mrs Lisa Ann Johnson, FNP | |
|
4940 Corrales Rd Ste 125, Corrales, NM 87048-8682 | |
| (505) 433-4446 | |
| Not Available |
| Full Name | Mrs Lisa Ann Johnson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 22 Years |
| Location | 4940 Corrales Rd Ste 125, Corrales, New Mexico |
| 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 |
|---|---|---|---|
| 1396840211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 368977-4405 (Utah) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 54024 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Harmony Home Health Services, Llc | Albuquerque, NM | Home health agency |
| Presbyterian Hospital | Albuquerque, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Presbyterian Healthcare Services | 9234041708 | 1179 |
| Entity Name | Presbyterian Healthcare Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
| Entity Name | Cottonwood Family Medicine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528429438 PECOS PAC ID: 8123327590 Enrollment ID: O20160506000432 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lisa Ann Johnson, FNP 4940 Corrales Rd Ste 125, Corrales, NM 87048-8682 Ph: (505) 433-4446 | Mrs Lisa Ann Johnson, FNP 4940 Corrales Rd Ste 125, Corrales, NM 87048-8682 Ph: (505) 433-4446 |
Jennifer Trainor, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2468 Corrales Rd. Suite A, Building A, Corrales, NM 87048 Phone: 505-508-1514 | |
Mrs. Naomi Moraga, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4940 Corrales Rd Ste 125, Corrales, NM 87048 Phone: 505-436-7500 Fax: 505-508-1514 |