Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PETER JOHNSON
NPI 1063277465
Nurse Practitioner in Boston, MA

Q: What is Peter Johnson's NPI number?

The NPI number for Peter Johnson is 1063277465. It was assigned to this individual provider in the NPPES registry on February 15, 2024.

Q: What is Peter Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Peter Johnson was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.

Active since February 15, 2024PECOS Enrolled

1340 BOYLSTON ST, BOSTON, MA 02215(617) 267-0900 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Peter Johnson NPPES

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

PETER JOHNSON (NPI 1063277465) is an individual nurse practitioner in Boston, Massachusetts, licensed in Massachusetts (RN2354716) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063277465

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NamePETER JOHNSON

Location Address1340 BOYLSTON STBoston, MA 02215-4302

Mailing Address124 Ocean Ave Apt 307Salem, MA 01970-2990 · (508) 317-1944

Phone(617) 267-0900

Sole ProprietorNo

Enumeration DateFebruary 15, 2024

Last NPPES UpdateJuly 27, 2026

NPPES CertifiedJuly 27, 2026

✔ NPI 1063277465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MA · RN2354716

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License RN2354716 (MA)

1340 BOYLSTON ST, Boston, MA 02215

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peter Johnson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

FENWAY COMMUNITY HEALTH CENTER, INC

Clinic/Center (Federally Qualified Health Center (FQHC))