MRS. MARY BETH JOHNSON ARNP
NPI 1104085497
Nurse Practitioner - Obstetrics & Gynecology in Davenport, IA
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
Specialties & Licenses
Other Names 1
Accepted Insurance
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Mary Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bettendorf, IA 52722
- Reassigned Medicare billing, Iowa enrollment
- 2,190 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Genesis Medical Center-Davenport
Acute Care Hospitals · Davenport, IAUniversity Of Iowa Hospital & Clinics
Acute Care Hospitals · Iowa City, IAPhysician 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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Mary Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Johnson reassigns Medicare benefits to State University Of Iowa (Bettendorf, IA). 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 Mary Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Johnson accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Insurance Company 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 and University Of Iowa Hospital & Clinics.
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 6 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.
# Mrs. Mary Beth Johnson, ARNP · NPI 1104085497
Obstetrics & Gynecology physician in Davenport, Iowa. Individual provider, active in the CMS NPPES registry since June 3, 2008.
## Identity
- **NPI:** 1104085497 (Entity type: Individual)
- **Enumerated:** June 3, 2008
- **Primary specialty:** Nurse Practitioner - Obstetrics & Gynecology · taxonomy 363LX0001X
- **State license:** F100600 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 3385 DEXTER CT STE 110, Davenport, IA 52807-3475
- **Phone:** (563) 355-2244 · **Fax:** (319) 356-3949
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** State University Of Iowa (NPI 1972955169, Bettendorf, IA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** April 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104085497) · Data from the CMS NPPES public registry.