Jordin R Johnson, NP in Mesa, AZ - Medicare Nurse Practitioner

Jordin R Johnson, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Mesa, Arizona. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Denova Collaborative Health, Llc, Lifewell Behavioral Wellness and her current practice location is 2204 S Dobson Rd Ste 102, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 230-7373.

Jordin R Johnson is licensed to practice in Arizona (license number 268112) 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 1265192983.

Contact Information

	Jordin R Johnson, NP
	2204 S Dobson Rd Ste 102, Mesa, AZ 85202-6457
	(602) 230-7373
	(480) 628-8577

Map and Direction

Provider's Profile

Full Name	Jordin R Johnson
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	2204 S Dobson Rd Ste 102, Mesa, Arizona
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jordin R Johnson graduated from nursing school in 2017

NPI Data:

NPI Number: 1265192983
Provider Enumeration Date: 12/21/2021
Last Update Date: 01/19/2024

Medicare PECOS Information:

PECOS PAC ID: 4981098845
Enrollment ID: I20220218002239

Medical Identifiers

Medical identifiers for Jordin R Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265192983	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	268112 (Arizona)	Primary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP61439900 (Washington)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Denova Collaborative Health, Llc	2466437736	84
Lifewell Behavioral Wellness	4981641818	26

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. Jordin R Johnson allows following entities to bill medicare on her behalf.

Entity Name	Denova Collaborative Health, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609300854 PECOS PAC ID: 2466437736 Enrollment ID: O20040621001542

Entity Name	Lifewell Behavioral Wellness
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417050337 PECOS PAC ID: 4981641818 Enrollment ID: O20050412001535

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. Jordin R 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
Jordin R Johnson, NP 3101 N Central Ave Ste 550, Phoenix, AZ 85012-2635 Ph: (602) 230-7373	Jordin R Johnson, NP 2204 S Dobson Rd Ste 102, Mesa, AZ 85202-6457 Ph: (602) 230-7373

Reviews and Comments

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Jordin R Johnson, NP - Medicare Nurse Practitioner in Mesa, AZ