MRS. RAESHAUNA JOHNSON NP
NPI 1003679804
Nurse Practitioner - Primary Care in Little Rock, AR

Active since February 05, 2024PECOS EnrolledAccepts Medicare Assignment
8 WILD BERRY PL, LITTLE ROCK, AR 72210(501) 478-1504 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Raeshauna Johnson Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. RAESHAUNA JOHNSON NP (NPI 1003679804) is an individual primary care provider in Little Rock, Arkansas, licensed in Arkansas (227318) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1003679804
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMRS. RAESHAUNA JOHNSONCredential: NP
Location Address8 WILD BERRY PLLittle Rock, AR 72210-5653
Mailing Address8 Wild Berry PlLittle Rock, AR 72210-5653 · (501) 478-1504
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 5, 2024
NPPES CertifiedFebruary 3, 2024
✔ NPI 1003679804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in AR · 227318
8 WILD BERRY PL, Little Rock, AR 72210

Accepted Insurance

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. Raeshauna 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 ID941746838
PECOS Enrollment IDI20240727000406
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Raeshauna Johnson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gerontology
203 RIVER ST
Benton, AR 72015
  • Reassigned Medicare billing, Arkansas enrollment
  • 3 clinicians in this Medicare group
Nurse Practitioner
609 SW 8TH ST
Bentonville, AR 72712
  • Reassigned Medicare billing, Arkansas enrollment
  • 60 clinicians in this Medicare group
Internal Medicine
609 SW 8TH ST FL 6
Bentonville, AR 72712
  • Reassigned Medicare billing, Arkansas enrollment
  • 17 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72210 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

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 Raeshauna Johnson's NPI number?

The NPI number for Raeshauna Johnson is 1003679804. It was assigned to this individual provider in the NPPES registry on February 5, 2024.

Where is Raeshauna Johnson located?

Raeshauna Johnson practices at 8 Wild Berry Pl, Little Rock, AR 72210. The listed phone number is (501) 478-1504.

What is Raeshauna Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Raeshauna Johnson enrolled in Medicare?

Yes. Raeshauna 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 Raeshauna Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raeshauna Johnson reassigns Medicare benefits to 3 organizations: Bl Physician Home Care Solutions PLLC (Benton, AR), Curana Health Of Arkansas LLC (Bentonville, AR) and Ch Mssp Services Ar PLLC (Bentonville, AR). 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 Raeshauna Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raeshauna Johnson accept?

Health plans from Health Advantage and Octave list Raeshauna 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.

When was this NPI record last updated?

The NPPES record for Raeshauna Johnson was last updated on February 5, 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.