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MRS. MARY BETH JOHNSON ARNP
NPI 1104085497
Nurse Practitioner - Obstetrics & Gynecology in Davenport, IA

Active since June 03, 2008PECOS EnrolledAccepts Medicare Assignment
3385 DEXTER CT STE 110, DAVENPORT, IA 52807(563) 355-2244(319) 356-3949 Get Directions Write a Review

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

About Mrs. Mary Beth Johnson Arnp NPPES

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

MRS. MARY BETH JOHNSON ARNP (NPI 1104085497) is an individual obstetrics & gynecology provider in Davenport, Iowa, licensed in Iowa (F100600) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Genesis Medical Center-davenport, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1104085497
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameMRS. MARY BETH JOHNSONCredential: ARNP
Location Address3385 DEXTER CT STE 110Davenport, IA 52807-3475
Mailing Address200 Hawkins DrIowa City, IA 52242-1009
Phone(563) 355-2244
Fax(319) 356-3949
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 3, 2008
Last NPPES UpdateApril 16, 2026
NPPES CertifiedApril 16, 2026
✔ NPI 1104085497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License✔ Licensed in IA · F100600
3385 DEXTER CT STE 110, Davenport, IA 52807
Open in Google Maps ↗

Other Names 1

Former Name (1)Miss Mary Beth Lelonek

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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

Mrs. Mary Beth Johnson Arnp 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 ID2567930696
PECOS Enrollment IDI20260507001147
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.

Hospital Affiliations CMS Care Compare

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

Genesis Medical Center-Davenport

Acute Care Hospitals · Davenport, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160033
Location1227 East Rusholme StreetDavenport, IA 52803 · Scott County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52807 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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

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

BROOKE ERIN EINSWEILER PA-C
Physician Assistant
3385 DEXTER CT STE 110
DAVENPORT, IA 52807
Scott County (563) 355-2244

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 Mary Johnson's NPI number?

The NPI number for Mary Johnson is 1104085497. It was assigned to this individual provider in the NPPES registry on June 3, 2008. The provider is also known as Miss Mary Beth Lelonek.

Where is Mary Johnson located?

Mary Johnson practices at 3385 Dexter Ct Ste 110, Davenport, IA 52807. The listed phone number is (563) 355-2244.

What is Mary Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Is Mary Johnson enrolled in Medicare?

Yes. Mary 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 Mary Johnson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Mary 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 Mary Johnson affiliated with any hospitals?

According to CMS data, Mary Johnson is affiliated with Genesis Medical Center-Davenport.

When was this NPI record last updated?

The NPPES record for Mary Johnson was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.