Mrs Marisa Protasel Johnson, PMHNP-BC - Medicare in Portland, OR

Mrs Marisa Protasel Johnson, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Portland, Oregon. Her current practice location is 12360 E Burnside St, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (971) 279-4800.

Mrs Marisa Protasel Johnson is licensed to practice in Oregon (license number 202208550NP-PP) 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 1699011767.

Contact Information

Mrs Marisa Protasel Johnson, PMHNP-BC
12360 E Burnside St,
Portland, OR 97233-1042
(971) 279-4800
(971) 279-2051

Map and Direction




Provider's Profile

Full NameMrs Marisa Protasel Johnson
GenderFemale
Speciality
Experience Years
Location12360 E Burnside St, Portland, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Marisa Protasel Johnson attended and graduated from in
  NPI Data:
  • NPI Number: 1699011767
  • Provider Enumeration Date: 12/18/2012
  • Last Update Date: 03/21/2024
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Mrs Marisa Protasel Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699011767NPI-NPPES
500819896MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN60200108 (Washington)Secondary
363L00000XNurse Practitioner AP61312604 (Washington)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 209.021409 (Illinois)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 202208550NP-PP (Oregon)Primary
163W00000XRegistered Nurse 202208453RN (Oregon)Secondary
163W00000XRegistered Nurse 041495198 (Illinois)Secondary

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 Marisa Protasel 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
Mrs Marisa Protasel Johnson, PMHNP-BC
1776 Sw Madison St,
Portland, OR 97205-1715

Ph: (503) 224-1044
Mrs Marisa Protasel Johnson, PMHNP-BC
12360 E Burnside St,
Portland, OR 97233-1042

Ph: (971) 279-4800

Reviews and Comments


Nurse Practitioner Nurses in Portland, OR

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Iva Juric,
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Phone: 971-354-9242    
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Practice Location: 12121 E Burnside St, Portland, OR 97216
Phone: 971-361-7700    

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.

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