Chelsea Marie Johnson, in Portland, OR - Medicare Nurse Practitioner

Chelsea Marie Johnson, is a medicare enrolled "Nurse Practitioner - Primary Care" in Portland, Oregon. Her current practice location is 1410 Ne 106th Ave, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 460-0405.

Chelsea Marie Johnson is licensed to practice in Oregon (license number 201910882NP-PP) 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 1265154264.

Contact Information

	Chelsea Marie Johnson,
	1410 Ne 106th Ave, Portland, OR 97220
	(503) 460-0405
	Not Available

Map and Direction

Provider's Profile

Full Name	Chelsea Marie Johnson
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	1410 Ne 106th Ave, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265154264
Provider Enumeration Date: 09/15/2022
Last Update Date: 08/06/2023

Medicare PECOS Information:

PECOS PAC ID: 8729441639
Enrollment ID: I20230824003907

Medical Identifiers

Medical identifiers for Chelsea Marie Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265154264	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	201910074RN (Oregon)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	201910882NP-PP (Oregon)	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. Chelsea Marie Johnson allows following entities to bill medicare on her behalf.

Entity Name	Bridge City Family Medical Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548330715 PECOS PAC ID: 7810988292 Enrollment ID: O20040524000631

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. Chelsea Marie 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 Address	Practice Location Address
Chelsea Marie Johnson, 1410 Ne 106th Ave, Portland, OR 97220-3934 Ph: (503) 460-0405	Chelsea Marie Johnson, 1410 Ne 106th Ave, Portland, OR 97220 Ph: (503) 460-0405

Reviews and Comments

Nurse Practitioner Nurses in Portland, OR

Mrs. Anjalee Nix Rowe, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-3988
Ms. Susan Irene Smith, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239 Phone: 971-202-5500 Fax: 971-202-5555
Iva Juric, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd # Cdw6, Portland, OR 97239 Phone: 503-494-4808
Ms. Jessica A Dudley, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3550 N Interstate Ave, Portland, OR 97227 Phone: 503-746-1575
Summer Morgan Massina, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 721 Nw 9th Ave Ste 100, Portland, OR 97209 Phone: 503-525-0090
Dr. Jeffery Wise, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1834 Nw 25th Ave Apt 504, Portland, OR 97210 Phone: 971-354-9242
A'lissa Richards, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12121 E Burnside St, Portland, OR 97216 Phone: 971-361-7700

Chelsea Marie Johnson, - Medicare Nurse Practitioner in Portland, OR