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MS. TAISHA JOHNSON APRN, NP-C
NPI 1104381490
Nurse Practitioner in Port St Lucie, FL

Active since January 31, 2019PECOS EnrolledAccepts Medicare Assignment
1893 SW KIMBERLY AVE, PORT ST LUCIE, FL 34953(772) 643-1645 Get Directions Write a Review

NPPES record last updated: June 2, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 2, 2020, Feb 7, 2020, Jul 19, 2019 and 1 more (4 updates tracked since 2019).

About Ms. Taisha Johnson Aprn, Np-c NPPES

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

MS. TAISHA JOHNSON APRN, NP-C (NPI 1104381490) is an individual nurse practitioner in Port St Lucie, Florida, licensed in Florida (APRN11000891) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1104381490
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. TAISHA JOHNSONCredential: APRN, NP-C
Location Address1893 SW KIMBERLY AVEPort St Lucie, FL 34953-1020
Mailing Address1893 Sw Kimberly AvePort St Lucie, FL 34953-1020 · (772) 643-1645 · Fax (319) 214-6336
Phone(772) 643-1645
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 31, 2019
Last NPPES UpdateJune 2, 20224 updates tracked since enumeration
NPPES CertifiedJune 2, 2022
✔ NPI 1104381490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · APRN11000891
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.
1893 SW KIMBERLY AVE, Port St Lucie, FL 34953
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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

Ms. Taisha Johnson Aprn, Np-c 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 ID3577805035
PECOS Enrollment IDI20190502001112
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 Reassignment

Medicare enrollment records show Taisha Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tj Wellness, LLC
Same address
Primary Care
1893 SW KIMBERLY AVE
Port St Lucie, FL 34953
  • Reassigned Medicare billing, Florida enrollment
NPI 1275178188 (772) 643-1645

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
375 services41 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
278 services43 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
70 services26 patients
Advance care planning, each additional 30 minutes 99498
Advance care planning involves discussing and documenting your future health care preferences in case you're unable to make decisions for yourself. Each additional 30 minutes allows more time to explore your wishes, values, and goals for treatment.
54 services29 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
44 services28 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
43 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34953 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers28 claims28 services$46.21 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
1 supplier18 claims18 services$53.38 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

TJ WELLNESS, LLC
Nurse Practitioner (Primary Care)
1893 SW KIMBERLY AVE
PORT ST LUCIE, FL 34953
St. Lucie County (772) 643-1645

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 Taisha Johnson's NPI number?

The NPI number for Taisha Johnson is 1104381490. It was assigned to this individual provider in the NPPES registry on January 31, 2019.

Where is Taisha Johnson located?

Taisha Johnson practices at 1893 SW Kimberly Ave, Port St Lucie, FL 34953. The listed phone number is (772) 643-1645.

What is Taisha Johnson's specialty?

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

Is Taisha Johnson enrolled in Medicare?

Yes. Taisha 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 Taisha Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Taisha Johnson reassigns Medicare benefits to Tj Wellness, LLC (Port St Lucie, FL). 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 Taisha 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 Taisha Johnson was last updated on June 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.