MARY JOHNSON ARNP
NPI 1750345898
Nurse Practitioner - Family in Davenport, FL
NPI Status: Active since April 14, 2006
Contact Information
7575 OSCEOLA POLK LINE RD
DAVENPORT, FL
ZIP 33896
Phone: (321) 677-0531
Fax: (321) 677-0537
- Individual
- Female
- Nurse Practitioner
- Family
- Accepts Insurance
- PECOS Enrolled
- Opted-Out Medicare
About MARY JOHNSON
This page provides the complete NPI Profile along with additional information for Mary Johnson, a provider established in Davenport, Florida with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1750345898 assigned on April 2006. The practitioner's primary taxonomy code is 363LF0000X with license number 1466102 (FL). The provider is registered as an individual and her NPI record was last updated 14 years ago.
- NPI
- 1750345898
- Provider Name
- MARY JOHNSON ARNP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 7575 OSCEOLA POLK LINE RD DAVENPORT, FL 33896
- Location Phone
- (321) 677-0531
- Location Fax
- (321) 677-0537
- Mailing Address
- 12 SOUTH BLVD E DAVENPORT, FL 33837
- Mailing Phone
- (321) 677-0531
- Mailing Fax
- (321) 677-0537
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-14-2006
- Last Update Date
- 09-01-2011
- Code Navigator
A nurse practitioner (NP) like Mary Johnson is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Mary Johnson opted out of Medicare effective on 10-01-2017 until 10-01-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 1466102
- License State
- FL
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Connect Bronze 0 Indiv Med Deductible - EPO
- Connect Bronze 5500 Indiv Med Deductible - EPO
- Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Bronze CMS Standard - EPO
- Connect Gold 2000 Indiv Med Deductible - EPO
- Connect Gold 800 Indiv Med Deductible - EPO
- Connect Gold CMS Standard - EPO
- Connect Silver 3600 Indiv Med Deductible - EPO
- Connect Silver 4300 Indiv Med Deductible - EPO
- Connect Silver CMS Standard - EPO
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Silver 9 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| P81478 | MEDICARE UPIN (02) | FL | |
| U0125Z | MEDICARE ID-TYPE UNSPECIFIED (04) | FL | MEDICARE PROVIDER # |
| 304941800 | MEDICAID (05) | FL |
Medicare Participation & PECOS Enrollment Status
Mary Johnson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 10-01-2017
Opt-Out End Date: 10-01-2025
Eligible to Order and Refer? No
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 33896 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $87.62
- Minimum New Patient Price $56
- Maximum New Patient Price $171.84
- Average New Patient Copayment $21.9
- Minimum New Patient Copayment $14
- Maximum New Patient Copayment $42.96
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $99.16
- Minimum Established Patient Price $17.57
- Maximum Established Patient Price $139.16
- Average Established Patient Copayment $24.79
- Minimum Established Patient Copayment $4.39
- Maximum Established Patient Copayment $34.79
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for MARY JOHNSON ARNP
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 5 | 0 | 3 | 4 | 5 | 8 | 9 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 6 | 4 | 10 | 8 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 6 + 4 + 1 + 0 + 8 + 1 + 8 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1750345898 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1942304829 | HOLIDAY CVS LLC Organization | Pharmacy | 7575 OSCEOLA POLK LINE RD DAVENPORT, FL 33896 (321) 677-0531 |
| 1083968135 | DR. MAX BEAUVOIR PHARMD Individual | Pharmacist | 7575 OSCEOLA POLK LINE RD DAVENPORT, FL 33896 (321) 677-0531 |
| 1689880130 | MRS. CYNTHIA SUZANNE BRUNS-SMIT ARNP Individual | Nurse Practitioner (Family) | 7575 OSCEOLA POLK LINE RD DAVENPORT, FL 33896 (321) 677-0531 |
| 1437751690 | KRISTEN SMITH Individual | Registered Nurse | 7575 OSCEOLA POLK LINE RD DAVENPORT, FL 33896 (321) 677-0531 |
| 1801568902 | AMARYLIS GONZALEZ Individual | Pharmacist | 7575 OSCEOLA POLK LINE RD DAVENPORT, FL 33896 (321) 677-0531 |
| 1427799766 | BENSLEY FAUSTIN PHARMACIST Individual | Pharmacist | 7575 OSCEOLA POLK LINE RD DAVENPORT, FL 33896 (321) 677-0531 |
| 1003352204 | BRIANA BROWN FNP Individual | Nurse Practitioner (Family) | 7575 OSCEOLA POLK LINE RD DAVENPORT, FL 33896 (321) 677-0531 |
| 1770340747 | GLORIA ILSE TATIANA AMEZQUITA LARA PHARMACIST Individual | Pharmacist | 7575 OSCEOLA POLK LINE RD DAVENPORT, FL 33896 (321) 677-0531 |
| 1841893963 | MANUSHKA NOELUS MSN, APRN, FNP - C Individual | Nurse Practitioner (Family) | 7575 OSCEOLA POLK LINE RD DAVENPORT, FL 33896 (321) 677-0531 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750345898, enumerated in the NPI registry as an "individual" on April 14, 2006
The provider is located at 7575 Osceola Polk Line Rd Davenport, Fl 33896 and the phone number is (321) 677-0531
The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
The provider might be accepting Accepts: Cigna Healthcare, Molina Healthcare, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $87.62 with an average copayment of $21.9 for new patient appointments. Established patients should expect a typical charge of $99.16 and an average copayment of 24.79. Please review your insurance plan or contact the provider directly to determine your specific costs.
No, the provider signed an affidavit on October 01, 2017 to opt-out of the Medicare program. The provider is excluded from the Medicare program until October 01, 2025.
This NPI record was last updated on April 14, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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