JOHANNA AGNEW
NPI 1063054484
Counselor - Professional in Philadelphia, PA
About Johanna Agnew NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHANNA AGNEW (NPI 1063054484) is an individual professional provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PC009917) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
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
Johanna Agnew 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.
Medicare Billing Reassignment
Medicare enrollment records show Johanna Agnew reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, PA 19107
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,739 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.
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 Johanna Agnew's NPI number?
The NPI number for Johanna Agnew is 1063054484. It was assigned to this individual provider in the NPPES registry on October 17, 2019.
Where is Johanna Agnew located?
Johanna Agnew practices at 1206 E Palmer St Apt 1, Philadelphia, PA 19125. The listed phone number is (215) 237-0750.
What is Johanna Agnew's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Johanna Agnew enrolled in Medicare?
Yes. Johanna Agnew 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 organization bills Medicare for Johanna Agnew's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Johanna Agnew reassigns Medicare benefits to Jefferson University Physicians (Philadelphia, PA). The 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 Johanna Agnew's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Johanna Agnew was last updated on October 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Johanna Agnew · NPI 1063054484
Professional provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since October 17, 2019.
## Identity
- **NPI:** 1063054484 (Entity type: Individual)
- **Enumerated:** October 17, 2019
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** PC009917 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1206 E PALMER ST APT 1, Philadelphia, PA 19125-3360
- **Phone:** (215) 237-0750
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Jefferson University Physicians (NPI 1326093675, Philadelphia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** October 17, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1063054484) · Data from the CMS NPPES public registry.