CATHERINE MARIE JOHNSON FNP-C
NPI 1053611715
Nurse Practitioner - Family in Pine Bush, NY
About Catherine Marie Johnson Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CATHERINE MARIE JOHNSON FNP-C (NPI 1053611715) is an individual family provider in Pine Bush, New York, licensed in New York (F336435) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Catherine Marie Johnson Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 12566 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PINE BUSH, NY 12566
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 Catherine Johnson's NPI number?
The NPI number for Catherine Johnson is 1053611715. It was assigned to this individual provider in the NPPES registry on October 28, 2010.
Where is Catherine Johnson located?
Catherine Johnson practices at 59 Boniface Dr, Pine Bush, NY 12566. The listed phone number is (845) 744-4499.
What is Catherine Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Catherine Johnson enrolled in Medicare?
Yes. Catherine Johnson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Catherine Johnson was last updated on March 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Catherine Marie Johnson, FNP-C · NPI 1053611715
Family physician in Pine Bush, New York. Individual provider, active in the CMS NPPES registry since October 28, 2010.
## Identity
- **NPI:** 1053611715 (Entity type: Individual)
- **Enumerated:** October 28, 2010
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F336435 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 59 BONIFACE DR, Pine Bush, NY 12566-7011
- **Phone:** (845) 744-4499
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** March 30, 2018
- **Other identifiers:** Medicaid 3404377 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1053611715) · Data from the CMS NPPES public registry.