JOHNNY IV FNP-C
NPI 1053118950
Nurse Practitioner - Family in Boston, MA
About Johnny Iv Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHNNY IV FNP-C (NPI 1053118950) is an individual family provider in Boston, Massachusetts, licensed in Massachusetts (RN2351241) and active in the NPI registry since February 2025. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
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
Johnny Iv 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Umass Memorial Healthalliance Hospitals
Acute Care Hospitals · Leominster, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02215 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.
BOSTON, MA 02215
BOSTON, MA 02215
BOSTON, MA 02215
BOSTON, MA 02215
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 Johnny Iv's NPI number?
The NPI number for Johnny Iv is 1053118950. It was assigned to this individual provider in the NPPES registry on February 27, 2025.
Where is Johnny Iv located?
Johnny Iv practices at 110 Francis St, Boston, MA 02215. The listed phone number is (978) 677-8946.
What is Johnny Iv's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Johnny Iv enrolled in Medicare?
Yes. Johnny Iv 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.
Is Johnny Iv affiliated with any hospitals?
According to CMS data, Johnny Iv is affiliated with Umass Memorial Healthalliance Hospitals.
When was this NPI record last updated?
The NPPES record for Johnny Iv was last updated on May 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Johnny Iv, FNP-C · NPI 1053118950
Family physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since February 27, 2025.
## Identity
- **NPI:** 1053118950 (Entity type: Individual)
- **Enumerated:** February 27, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN2351241 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 110 FRANCIS ST, Boston, MA 02215-5501
- **Phone:** (978) 677-8946
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** May 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1053118950) · Data from the CMS NPPES public registry.