Mary Johnson, NP in Mountain Grove, MO - Medicare Nurse Practitioner

Mary Johnson, NP is a medicare enrolled "Nurse Practitioner - Family" in Mountain Grove, Missouri. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mercy Clinic Springfield Communities and her current practice location is 120 W 16th St, Mountain Grove, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 926-6111.

Mary Johnson is licensed to practice in Missouri (license number 2019007175) 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 1407315195.

Contact Information

	Mary Johnson, NP
	120 W 16th St, Mountain Grove, MO 65711-1039
	(417) 926-6111
	Not Available

Map and Direction

Provider's Profile

Full Name	Mary Johnson
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	120 W 16th St, Mountain Grove, Missouri
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:

Mary Johnson graduated from nursing school in 2016

NPI Data:

NPI Number: 1407315195
Provider Enumeration Date: 03/13/2019
Last Update Date: 01/18/2022

Medicare PECOS Information:

PECOS PAC ID: 1850631219
Enrollment ID: I20190321000432

Medical Identifiers

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

Identifier	Type	State	Issuer
1407315195	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2019007175 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Hospital Springfield	Springfield, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mercy Clinic Springfield Communities	7416865845	933

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. Mary Johnson allows following entities to bill medicare on her behalf.

Entity Name	Mercy Clinic Springfield Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060

Entity Name	Mercy Clinic Springfield Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354

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. Mary 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
Mary Johnson, NP 120 W 16th St, Mountain Grove, MO 65711-1039 Ph: (417) 926-6111	Mary Johnson, NP 120 W 16th St, Mountain Grove, MO 65711-1039 Ph: (417) 926-6111

Reviews and Comments

Nurse Practitioner Nurses in Mountain Grove, MO

Mrs. Christy Lin Bramwell, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1905 W 19th St, Mountain Grove, MO 65711 Phone: 417-926-1770 Fax: 417-926-1785
Jenna Cravens, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1602a N Main St, Mountain Grove, MO 65711 Phone: 417-269-2350 Fax: 417-926-5626
Ashlynn Vonderheide, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 W 16th St, Mountain Grove, MO 65711 Phone: 417-926-6111
Marlisa G. Mcgowan, PNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 W 16th St, Mountain Grove, MO 65711 Phone: 417-926-6111 Fax: 417-926-6115
Elaine Joetta Luna, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 W 16th St, Mountain Grove, MO 65711 Phone: 417-926-6111
Heather Danielle Friend, APRN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 205 W 3rd St Ste 3, Mountain Grove, MO 65711 Phone: 417-926-3743 Fax: 417-926-7625

Mary Johnson, NP - Medicare Nurse Practitioner in Mountain Grove, MO