NATHAN L JOHNSON NP-C
NPI 1063763092
Nurse Practitioner - Family in Charleston, WV

Active since October 01, 2012PECOS Enrolled
1000 LINCOLN DRIVE, CHARLESTON, WV 25309(304) 768-4400 Get Directions Write a Review

NPPES record last updated: April 29, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Nathan L Johnson Np-c NPPES

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

NATHAN L JOHNSON NP-C (NPI 1063763092) is an individual family provider in Charleston, West Virginia, licensed in West Virginia (66178) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063763092
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameNATHAN L JOHNSONCredential: NP-C
Location Address1000 LINCOLN DRIVECharleston, WV 25309
Mailing AddressPo Box 1145Gauley Bridge, WV 25085-1145 · (304) 951-8334
Sole ProprietorYes
Enumeration DateOctober 1, 2012
Last NPPES UpdateApril 29, 2014
✔ NPI 1063763092 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 WV · 66178
1000 LINCOLN DRIVE, Charleston, WV 25309

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nathan L Johnson Np-c 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Nathan Johnson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geriatric Medicine
1543 COUNTRY CLUB RD
Fairmont, WV 26554
  • Reassigned Medicare billing, West Virginia enrollment
  • 49 clinicians in this Medicare group
Geriatric Medicine
840 LEE RD
Follansbee, WV 26037
  • Reassigned Medicare billing, West Virginia enrollment
  • 52 clinicians in this Medicare group
Geriatric Medicine
420 DEAN DR
Gardendale, AL 35071
  • Reassigned Medicare billing, West Virginia enrollment
  • 49 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25309 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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 2

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

Speech-Language Pathologist
1000 LINCOLN DRIVE
CHARLESTON, WV 25309
Occupational Therapy Assistant
1000 LINCOLN DRIVE
SOUTH CHARLESTON, WV 25309

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 Nathan Johnson's NPI number?

The NPI number for Nathan Johnson is 1063763092. It was assigned to this individual provider in the NPPES registry on October 1, 2012.

Where is Nathan Johnson located?

Nathan Johnson practices at 1000 Lincoln Drive, Charleston, WV 25309. The listed phone number is (304) 768-4400.

What is Nathan Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nathan Johnson enrolled in Medicare?

Yes. Nathan Johnson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nathan Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Johnson reassigns Medicare benefits to 3 organizations: Alignmed Medical Group Wv, PC (Fairmont, WV), Geps Physician Group Of West Virginia PC (Follansbee, WV) and Alignmed Partners, PC (Gardendale, AL). Each 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 Nathan Johnson'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 Nathan Johnson was last updated on April 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.