MARISA JOHNSON MD
NPI 1083615520
Internal Medicine - Nephrology in Shreveport, LA

Active since August 09, 2005PECOS EnrolledAccepts Medicare Assignment
94.07/100
CMS Quality Rating
1303 LINE AVE, STE 400, SHREVEPORT, LA 71101(318) 221-2707(313) 221-2709 Get Directions Write a Review

NPPES record last updated: September 6, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marisa Johnson Md NPPES

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

MARISA JOHNSON MD (NPI 1083615520) is an individual nephrology provider in Shreveport, Louisiana, licensed in Louisiana (MD.023908) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (1997).

NPPES Registry Identity

NPI1083615520
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameMARISA JOHNSONCredential: MD
Location Address1303 LINE AVE, STE 400Shreveport, LA 71101-4628
Mailing Address1303 Line Ave, Ste 400Shreveport, LA 71101-4628 · (318) 221-2707 · Fax (313) 221-2709
Fax(313) 221-2709
Sole ProprietorYes
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 1997
Enumeration DateAugust 9, 2005
Last NPPES UpdateSeptember 6, 2017
NPI 1083615520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses Licensed in LA · MD.023908 Licensed in TX · L6967 Licensed in LA · 023908
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1303 LINE AVE, Shreveport, LA 71101

Other Identifiers 5

Medicare ID-Type Unspecified8A9377
Medicare UPINH46621
Medicaid146986802TX
Medicaid1487481LA
Medicare PIN4A598CC98LA

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

Marisa Johnson Md 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 ID143111641
PECOS Enrollment IDI20260528004188
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
294 services106 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
74 services29 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
44 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71101 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

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.

94.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.65
Promoting Interoperability95.83
Improvement Activities40

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.

Counselor
1303 LINE AVE
SHREVEPORT, LA 71101
Counselor
1303 LINE AVE
SHREVEPORT, LA 71101

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 Marisa Johnson's NPI number?

The NPI number for Marisa Johnson is 1083615520. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Marisa Johnson located?

Marisa Johnson practices at 1303 Line Ave Ste 400, Shreveport, LA 71101. The listed phone number is (318) 221-2707.

What is Marisa Johnson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Marisa Johnson enrolled in Medicare?

Yes. Marisa 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 Marisa Johnson accept?

Health plans from Blue Cross Blue Shield of Wyoming, CareSource and HMO Louisiana list Marisa 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.

When was this NPI record last updated?

The NPPES record for Marisa Johnson was last updated on September 6, 2017. 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.