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MARY AGNES JOHNSON NP
NPI 1003251539
Nurse Practitioner in Fort Worth, TX

Active since May 10, 2013PECOS EnrolledAccepts Medicare Assignment
1400 8TH AVE, FORT WORTH, TX 76104(817) 922-7070 Get Directions Write a Review

NPPES record last updated: May 10, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1003251539
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARY AGNES JOHNSONCredential: NP
Location Address1400 8TH AVEFort Worth, TX 76104-4110
Mailing Address2900 Willing AveFort Worth, TX 76110-3446 · (334) 744-0554
Phone(817) 922-7070
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 10, 2013
✔ NPI 1003251539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · 834891
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1400 8TH AVE, Fort Worth, TX 76104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID7618103292
PECOS Enrollment IDI20131204001836
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
21 services21 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services12 patients

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, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450039
Location1500 S Main StFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly

Physician 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.

New Patient
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JOEY MAYOR MD
Emergency Medicine
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (214) 712-2074
JEFF DURBIN
Registered Nurse (Registered Nurse First Assistant)
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 926-2544
AUSTIN FORD BENTON PA-C
Physician Assistant
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 926-2544
ANNELISE KUTZLER
Obstetrics & Gynecology
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 922-4534
ESHA SINGHAL MD
Student in an Organized Health Care Education/Training Program
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 922-4534
SARAH ELIZABETH ANDRADE DO
Student in an Organized Health Care Education/Training Program
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 922-4535
DR. LUCAS CADE COLSON PHARM. D.
Pharmacist (Pharmacotherapy)
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 922-2074
ERIN LENORA SCHWARZ CRNA, DNP
Nurse Anesthetist, Certified Registered
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 926-2544

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.

What insurance does Mary Johnson accept?

Health plans from Molina Healthcare list Mary Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.