Mrs Jennifer Michelle Johnson, CNM, WHNP, FNP in Statesville, NC

Mrs Jennifer Michelle Johnson, CNM, WHNP, FNP is a medicare enrolled "Nurse Practitioner - Family" in Statesville, North Carolina. Her current practice location is 1420 Fern Creek Dr, Statesville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 380-3722.

Mrs Jennifer Michelle Johnson is licensed to practice in North Carolina (license number 689) 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 1184115834.

Contact Information

	Mrs Jennifer Michelle Johnson, CNM, WHNP, FNP
	1420 Fern Creek Dr, Statesville, NC 28625-9376
	(704) 380-3722
	(704) 380-3723

Map and Direction

Provider's Profile

Full Name	Mrs Jennifer Michelle Johnson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1420 Fern Creek Dr, Statesville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184115834
Provider Enumeration Date: 05/29/2018
Last Update Date: 10/18/2023

Medicare PECOS Information:

PECOS PAC ID: 8628320314
Enrollment ID: I20181008001819

Medical Identifiers

Medical identifiers for Mrs Jennifer Michelle Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184115834	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	5011496 (North Carolina)	Secondary
367A00000X	Advanced Practice Midwife	689 (North Carolina)	Secondary
363LF0000X	Nurse Practitioner - Family	689 (North Carolina)	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. Mrs Jennifer Michelle Johnson allows following entities to bill medicare on her behalf.

Entity Name	Natural Beginnings Birth And Wellness Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881979011 PECOS PAC ID: 4880840024 Enrollment ID: O20120803000558

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. Mrs Jennifer Michelle 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
Mrs Jennifer Michelle Johnson, CNM, WHNP, FNP 1420 Fern Creek Dr, Statesville, NC 28625-9376 Ph: (704) 437-0841	Mrs Jennifer Michelle Johnson, CNM, WHNP, FNP 1420 Fern Creek Dr, Statesville, NC 28625-9376 Ph: (704) 380-3722

Reviews and Comments

Nurse Practitioner Nurses in Statesville, NC

Tanya Kapp Maxwell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1818 Davie Ave, Statesville, NC 28677 Phone: 704-873-1036 Fax: 704-873-1058
Mrs. Laurie A Edwards, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 178 Turnersburg Hwy, Minute Clinic, Statesville, NC 28625 Phone: 704-872-6355 Fax: 401-652-9787
Cecilia Kaechele, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 557 Brookdale Dr, Statesville, NC 28677 Phone: 704-997-5525 Fax: 704-997-5531
Kelly Dawkins Bumgardner, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 633 Brookdale Dr Ste 100, Statesville, NC 28677 Phone: 704-873-7850
Rachel Danielle Stanley, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 536 Signal Hill Drive Ext, Statesville, NC 28625 Phone: 704-872-0234
Lisa Vang, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 178 Turnersburg Hwy, Statesville, NC 28625 Phone: 704-872-6355
Ms. Judy Lackey Keighron, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 308c Mocksville Hwy, Statesville, NC 28625 Phone: 704-873-4484 Fax: 704-873-4485

Mrs Jennifer Michelle Johnson, CNM, WHNP, FNP - Medicare Nurse Practitioner in Statesville, NC