ANJU LIZ JOHNSON CRNP
NPI 1104392513
Nurse Practitioner in Bethesda, MD
About Anju Liz Johnson Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANJU LIZ JOHNSON CRNP (NPI 1104392513) is an individual nurse practitioner in Bethesda, Maryland, licensed in Maryland (R202794) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Anju Liz Johnson Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Anju Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bethesda, MD 20817
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- Also billed through NPI 1700153921 (Maryland)
- 96 clinicians in this Medicare group
Washington, DC 20037
- Reassigned Medicare billing, District of Columbia enrollment
- 1,275 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 20817 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 6
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 Anju Johnson's NPI number?
The NPI number for Anju Johnson is 1104392513. It was assigned to this individual provider in the NPPES registry on October 23, 2018.
Where is Anju Johnson located?
Anju Johnson practices at 6410 Rockledge Dr Ste 503, Bethesda, MD 20817. The listed phone number is (301) 530-1700.
What is Anju Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Anju Johnson enrolled in Medicare?
Yes. Anju Johnson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Anju Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anju Johnson reassigns Medicare benefits to 2 organizations: Chesapeake Urology Associates, LLC (Bethesda, MD) and Medical Faculty Associates, Inc (Washington, DC). 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 Anju 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 Anju Johnson was last updated on November 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Anju Liz Johnson, CRNP · NPI 1104392513
Nurse Practitioner physician in Bethesda, Maryland. Individual provider, active in the CMS NPPES registry since October 23, 2018.
## Identity
- **NPI:** 1104392513 (Entity type: Individual)
- **Enumerated:** October 23, 2018
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** R202794 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 6410 ROCKLEDGE DR STE 503, Bethesda, MD 20817-7822
- **Phone:** (301) 530-1700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Chesapeake Urology Associates, LLC (NPI 1417772179, Bethesda, MD); Medical Faculty Associates, Inc (NPI 1417990581, Washington, DC) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 5, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1104392513) · Data from the CMS NPPES public registry.