Theresa Carla Negrido Johnson, PMHNP - Medicare Nurse Practitioner in Santa Rosa, CA

  1. Home
  2. Nurse Practitioner
  3. CA
  4. Santa Rosa
Theresa Carla Negrido Johnson, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Santa Rosa, California. Her current practice location is 480 Tesconi Cir Ste B, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at (707) 206-7268.

Theresa Carla Negrido Johnson is licensed to practice in California (license number 95004522) 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 1255600581.

Contact Information

Theresa Carla Negrido Johnson, PMHNP
480 Tesconi Cir Ste B,
Santa Rosa, CA 95401-4691
(707) 206-7268
Not Available

Map and Direction




Provider's Profile

Full NameTheresa Carla Negrido Johnson
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location480 Tesconi Cir Ste B, Santa Rosa, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255600581
  • Provider Enumeration Date: 12/15/2011
  • Last Update Date: 07/16/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7315202959
  • Enrollment ID: I20180531000775

Medical Identifiers

Medical identifiers for Theresa Carla Negrido Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255600581NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WN0800XRegistered Nurse - Neuroscience 685968 (Florida)Secondary
363LF0000XNurse Practitioner - Family 95004522 (California)Secondary
364SC0200XClinical Nurse Specialist - Critical Care Medicine 3636 (California)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 95004522 (California)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. Theresa Carla Negrido Johnson allows following entities to bill medicare on her behalf.
Entity NameRegents Of The University Of California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760552343
PECOS PAC ID: 4284547274
Enrollment ID: O20031106000389
Entity NameUcsf Pediatrics Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376614016
PECOS PAC ID: 6204749112
Enrollment ID: O20031106000823
Entity NameUniversity Of California San Francisco
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861578973
PECOS PAC ID: 4486567229
Enrollment ID: O20031212000897
Entity NameUcsf Dept Of Surgery
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477627537
PECOS PAC ID: 7719886373
Enrollment ID: O20040102000839
Entity NameUcsf Medical Group Business Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477624104
PECOS PAC ID: 3779497870
Enrollment ID: O20040622001513
Entity NameSiyan Clinical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568732972
PECOS PAC ID: 0042470122
Enrollment ID: O20120327000847
Entity NameGrow Healthcare Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154994846
PECOS PAC ID: 1850774746
Enrollment ID: O20220809004080

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. Theresa Carla Negrido 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
Theresa Carla Negrido Johnson, PMHNP
71 Blanca Dr,
Novato, CA 94947-3729

Ph: (818) 445-5414		Theresa Carla Negrido Johnson, PMHNP
480 Tesconi Cir Ste B,
Santa Rosa, CA 95401-4691

Ph: (707) 206-7268

Reviews and Comments


Nurse Practitioner Nurses in Santa Rosa, CA

Peggy Walsh Goebel,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 50 Montgomery Dr, Santa Rosa, CA 95404
Phone: 707-585-7780    Fax: 707-585-7784
Sophia Rose Wuest,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 751 Lombardi Ct, Santa Rosa, CA 95407
Phone: 707-303-3600    
Julie Barlow, N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1165 Montgomery Dr, Santa Rosa, CA 95405
Phone: 707-525-5207    
Suzanne Watts Dedmore, RN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1110 N Dutton Ave, Santa Rosa, CA 95401
Phone: 707-303-3600    
Amada Ligia Gomez, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1989 Citrine Way, Santa Rosa, CA 95404
Phone: 786-385-4492    
Genesis Callejas-mir, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1501 Mendocino Ave, Santa Rosa, CA 95401
Phone: 707-527-4445    
Felipa Jones, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3317 Chanate Rd, Suite 2c, Santa Rosa, CA 95404
Phone: 707-570-1130    Fax: 707-571-2478

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.