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MS. MARI JOHNSON APRN
NPI 1114862711
Nurse Practitioner - Family in Jacksonville, FL

Active since April 21, 2026PECOS Enrolled
224 W 10TH ST, JACKSONVILLE, FL 32206(904) 324-9763 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Mari Johnson Aprn NPPES

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

MS. MARI JOHNSON APRN (NPI 1114862711) is an individual family provider in Jacksonville, Florida, licensed in Florida (11046346) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1114862711
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. MARI JOHNSONCredential: APRN
Location Address224 W 10TH STJacksonville, FL 32206-3613
Mailing Address224 W 10th StJacksonville, FL 32206-3613 · (904) 324-9763
Phone(904) 324-9763
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 21, 2026
NPPES CertifiedApril 21, 2026
✔ NPI 1114862711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · 11046346
224 W 10TH ST, Jacksonville, FL 32206
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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 (PECOS)

Ms. Mari Johnson Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789140922
PECOS Enrollment IDI20260729000264
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 Mari Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pareto Population Health Management Practice PLLC
1.6 mi
Family Medicine
1697 KINGS RD STE 1
Jacksonville, FL 32209
  • Reassigned Medicare billing, Florida enrollment
  • 4 clinicians in this Medicare group
NPI 1598396392 (904) 478-5483

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 32206 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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 Mari Johnson's NPI number?

The NPI number for Mari Johnson is 1114862711. It was assigned to this individual provider in the NPPES registry on April 21, 2026.

Where is Mari Johnson located?

Mari Johnson practices at 224 W 10th St, Jacksonville, FL 32206. The listed phone number is (904) 324-9763.

What is Mari Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mari Johnson enrolled in Medicare?

Yes. Mari Johnson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mari Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mari Johnson reassigns Medicare benefits to Pareto Population Health Management Practice PLLC (Jacksonville, 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 Mari 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 Mari Johnson was last updated on April 21, 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.