NICOLE MARIE JOHNSON PA-C
NPI 1053952499
Physician Assistant in Winter Garden, FL

Active since October 07, 2019PECOS EnrolledAccepts Medicare Assignment
75.27/100
CMS Quality Rating
2200 FOWLER GROVE BLVD STE 140, WINTER GARDEN, FL 34787(407) 614-0528(407) 614-0529 Get Directions Write a Review

NPPES record last updated: February 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 13, 2023, Oct 7, 2019 (2 updates tracked since 2019).

About Nicole Marie Johnson Pa-c NPPES

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

NICOLE MARIE JOHNSON PA-C (NPI 1053952499) is an individual physician assistant in Winter Garden, Florida, licensed in Florida (PA9116795) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and maintains a secondary practice location in Fort Worth.

NPPES Registry Identity

NPI1053952499
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE MARIE JOHNSONCredential: PA-C
Location Address2200 FOWLER GROVE BLVD STE 140Winter Garden, FL 34787-5597
Mailing Address603 Broad Leaf LnMckinney, TX 75072-5153 · (954) 673-9812
Fax(407) 614-0529
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2019
Enumeration DateOctober 7, 2019
Last NPPES UpdateFebruary 13, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2023
NPI 1053952499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in FL · PA9116795
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2200 FOWLER GROVE BLVD STE 140, Winter Garden, FL 34787

Secondary Practice Location 1

Location 17630 N Beach St Ste 140Fort Worth, TX 76137-3016 · Phone (817) 281-2977

Accepted Insurance

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

Nicole Marie Johnson Pa-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 ID5890120349
PECOS Enrollment IDI20230227001517
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
77 services57 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34787 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

75.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.07
Promoting Interoperability100
Improvement Activities40
Cost49.5

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
2200 FOWLER GROVE BLVD STE 140
WINTER GARDEN, FL 34787
Family Medicine
2200 FOWLER GROVE BLVD STE 140
WINTER GARDEN, FL 34787
Family Medicine
2200 FOWLER GROVE BLVD STE 140
WINTER GARDEN, FL 34787
Nurse Practitioner (Family)
2200 FOWLER GROVE BLVD STE 140
WINTER GARDEN, FL 34787
Family Medicine
2200 FOWLER GROVE BLVD STE 140
WINTER GARDEN, FL 34787
Nurse Practitioner (Family)
2200 FOWLER GROVE BLVD STE 140
WINTER GARDEN, FL 34787
Physician Assistant
2200 FOWLER GROVE BLVD STE 140
WINTER GARDEN, FL 34787

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 Nicole Johnson's NPI number?

The NPI number for Nicole Johnson is 1053952499. It was assigned to this individual provider in the NPPES registry on October 7, 2019.

Where is Nicole Johnson located?

Nicole Johnson practices at 2200 Fowler Grove Blvd Ste 140, Winter Garden, FL 34787. The listed phone number is (407) 614-0528.

What is Nicole Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicole Johnson enrolled in Medicare?

Yes. Nicole 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.

What insurance does Nicole Johnson accept?

Health plans from Oscar Health Maintenance Organization of Florida list Nicole 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.

Is Nicole Johnson affiliated with any hospitals?

According to CMS data, Nicole Johnson is affiliated with Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Nicole Johnson was last updated on February 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.