MARY AGNES JOHNSON NP
NPI 1003251539
Nurse Practitioner in Fort Worth, TX
About Mary Agnes Johnson Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY AGNES JOHNSON NP (NPI 1003251539) is an individual nurse practitioner in Fort Worth, Texas, licensed in Texas (834891) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Jps Health Network, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mary Agnes Johnson Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Mary Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Worth, TX 76104
- Reassigned Medicare billing, Texas enrollment
- 985 clinicians in this Medicare group
Fort Worth, TX 76104
- Reassigned Medicare billing, Texas enrollment
- 328 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jps Health Network
Acute Care Hospitals · Fort Worth, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT WORTH, TX 76104
FORT WORTH, TX 76104
FORT WORTH, TX 76104
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mary Johnson's NPI number?
The NPI number for Mary Johnson is 1003251539. It was assigned to this individual provider in the NPPES registry on May 10, 2013.
Where is Mary Johnson located?
Mary Johnson practices at 1400 8th Ave, Fort Worth, TX 76104. The listed phone number is (817) 922-7070.
What is Mary Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Mary Johnson enrolled in Medicare?
Yes. Mary Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Mary Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Johnson reassigns Medicare benefits to 2 organizations: Acclaim Physician Group, Inc (Fort Worth, TX) and Integrative Emergency Services Physician Group PA (Fort Worth, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Mary Johnson affiliated with any hospitals?
According to CMS data, Mary Johnson is affiliated with Jps Health Network.
When was this NPI record last updated?
The NPPES record for Mary Johnson was last updated on May 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mary Agnes Johnson, NP · NPI 1003251539
Nurse Practitioner physician in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since May 10, 2013.
## Identity
- **NPI:** 1003251539 (Entity type: Individual)
- **Enumerated:** May 10, 2013
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 834891 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1400 8TH AVE, Fort Worth, TX 76104-4110
- **Phone:** (817) 922-7070
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Acclaim Physician Group, Inc (NPI 1780076562, Fort Worth, TX); Integrative Emergency Services Physician Group PA (NPI 1285922542, Fort Worth, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** May 10, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1003251539) · Data from the CMS NPPES public registry.