Ms Randi Yvonne Johnson, RN, MSN, FNP-BC - Medicare Nurse Practitioner in Philadelphia, PA

Ms Randi Yvonne Johnson, RN, MSN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Philadelphia, Pennsylvania. Her current practice location is 4190 City Ave, Ste 315, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 871-6844.

Ms Randi Yvonne Johnson is licensed to practice in Pennsylvania (license number SP010221) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1225279714.

Contact Information

Ms Randi Yvonne Johnson, RN, MSN, FNP-BC
4190 City Ave, Ste 315,
Philadelphia, PA 19131-1626
(215) 871-6844
(215) 874-6932

Map and Direction




Provider's Profile

Full NameMs Randi Yvonne Johnson
GenderFemale
SpecialityNurse Practitioner - Family
Location4190 City Ave, Philadelphia, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225279714
  • Provider Enumeration Date: 03/13/2009
  • Last Update Date: 07/29/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 7315004694
  • Enrollment ID: I20090401000298

Medical Identifiers

Medical identifiers for Ms Randi Yvonne Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225279714NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse SP010221 (Pennsylvania)Secondary
163WG0600XRegistered Nurse - Gerontology SP010221 (Pennsylvania)Secondary
163WH0200XRegistered Nurse - Home Health SP010221 (Pennsylvania)Secondary
363LF0000XNurse Practitioner - Family SP010221 (Pennsylvania)Primary

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. Ms Randi Yvonne Johnson allows following entities to bill medicare on her behalf.
Entity NamePhiladelphia College Of Osteopathic Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881635704
PECOS PAC ID: 0648179234
Enrollment ID: O20040114000179

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. Ms Randi Yvonne 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
Ms Randi Yvonne Johnson, RN, MSN, FNP-BC
Po Box 824112,
Philadelphia, PA 19182-4112

Ph: (215) 871-6844
Ms Randi Yvonne Johnson, RN, MSN, FNP-BC
4190 City Ave, Ste 315,
Philadelphia, PA 19131-1626

Ph: (215) 871-6844

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).

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