MRS. ALICIA L JOHNSON FNP-C
NPI 1003563768
Nurse Practitioner - Family in Elbridge, NY
About Mrs. Alicia L Johnson Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. ALICIA L JOHNSON FNP-C (NPI 1003563768) is an individual family provider in Elbridge, New York, licensed in New York (F347820) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Auburn Community Hospital, and is a graduate of Other (2021).
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
Mrs. Alicia L Johnson Fnp-c 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
3Medicare enrollment records show Alicia Johnson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Auburn, NY 13021
- Reassigned Medicare billing, New York enrollment
- Also billed through NPI 1336855683 (New York)
- 277 clinicians in this Medicare group
Auburn, NY 13021
- Reassigned Medicare billing, New York enrollment
- 249 clinicians in this Medicare group
Syracuse, NY 13204
- Reassigned Medicare billing, New York enrollment
- 91 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 10
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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Auburn Community Hospital
Acute Care Hospitals · Auburn, NYUniversity Hospital S U N Y Health Science Center
Acute Care Hospitals · Syracuse, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13060 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Alicia Johnson's NPI number?
The NPI number for Alicia Johnson is 1003563768. It was assigned to this individual provider in the NPPES registry on March 3, 2022.
Where is Alicia Johnson located?
Alicia Johnson practices at 5566 Jordan Rd, Elbridge, NY 13060. The listed phone number is (315) 689-1833.
What is Alicia Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Alicia Johnson enrolled in Medicare?
Yes. Alicia 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 Alicia Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alicia Johnson reassigns Medicare benefits to 3 organizations: Auburn Community Hospital (Auburn, NY), Auburn Memorial Medical Services, PC (Auburn, NY) and Familycare Medical Group, PC (Syracuse, NY). 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 Alicia Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Alicia Johnson affiliated with any hospitals?
According to CMS data, Alicia Johnson is affiliated with Auburn Community Hospital and University Hospital S U N Y Health Science Center.
When was this NPI record last updated?
The NPPES record for Alicia Johnson was last updated on February 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mrs. Alicia L Johnson, FNP-C · NPI 1003563768
Family physician in Elbridge, New York. Individual provider, active in the CMS NPPES registry since March 3, 2022.
## Identity
- **NPI:** 1003563768 (Entity type: Individual)
- **Enumerated:** March 3, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F347820 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 5566 JORDAN RD, Elbridge, NY 13060-9617
- **Phone:** (315) 689-1833 · **Fax:** (315) 389-1834
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Auburn Community Hospital (NPI 1902889215, Auburn, NY); Auburn Memorial Medical Services, PC (NPI 1194913749, Auburn, NY); Familycare Medical Group, PC (NPI 1447212063, Syracuse, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** February 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1003563768) · Data from the CMS NPPES public registry.