JOHNNY IV FNP-C
NPI 1053118950
Nurse Practitioner - Family in Boston, MA

Active since February 27, 2025PECOS EnrolledAccepts Medicare Assignment
110 FRANCIS ST, BOSTON, MA 02215(978) 677-8946 Get Directions Write a Review

NPPES record last updated: May 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 25, 2025, Feb 27, 2025 (2 updates tracked since 2025).

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 and is a graduate of Other (2024).

NPPES Registry Identity

NPI1053118950
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJOHNNY IVCredential: FNP-C
Location Address110 FRANCIS STBoston, MA 02215-5501
Mailing Address7 Gothland StQuincy, MA 02169-1821
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 27, 2025
Last NPPES UpdateMay 25, 20252 updates tracked since enumeration
NPPES CertifiedMay 25, 2025
NPI 1053118950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MA · RN2351241
110 FRANCIS ST, Boston, MA 02215

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.

PECOS PAC ID9032610498
PECOS Enrollment IDI20250828002337
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.

Physician 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.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

Physician Assistant (Surgical)
110 FRANCIS ST
BOSTON, MA 02215
Internal Medicine (Geriatric Medicine)
110 FRANCIS ST, LMOB SUITE 1A
BOSTON, MA 02215
Internal Medicine (Rheumatology)
110 FRANCIS ST
BOSTON, MA 02215
Audiologist
110 FRANCIS ST, LOWRY BUILDING 6-E
BOSTON, MA 02215
Internal Medicine (Infectious Disease)
110 FRANCIS ST, LOWRY BUILDING SUITE GB
BOSTON, MA 02215
Internal Medicine (Gastroenterology)
110 FRANCIS ST, SUITE 8E
BOSTON, MA 02215
Internal Medicine (Pulmonary Disease)
110 FRANCIS ST, SUITE 1B
BOSTON, MA 02215
Internal Medicine (Infectious Disease)
110 FRANCIS ST, LMOB SUITE G-B
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.

When was this NPI record last updated?

The NPPES record for Johnny Iv was last updated on May 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.