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NATHANIEL JOHNSON PMHNP-BC
NPI 1124715222
Nurse Practitioner - Psychiatric/Mental Health in Rochester, NY

Active since April 19, 2023PECOS Enrolled
2613 W HENRIETTA RD STE F, ROCHESTER, NY 14623(585) 702-2612 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nathaniel Johnson Pmhnp-bc NPPES

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

NATHANIEL JOHNSON PMHNP-BC (NPI 1124715222) is an individual psychiatric/mental health provider in Rochester, New York, licensed in New York (404969) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124715222
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameNATHANIEL JOHNSONCredential: PMHNP-BC
Location Address2613 W HENRIETTA RD STE FRochester, NY 14623-2327
Mailing Address23 Bateau TerRochester, NY 14617-1201 · (585) 703-2612
Phone(585) 702-2612
Sole ProprietorNo
Enumeration DateApril 19, 2023
Last NPPES UpdateMarch 19, 2024
NPPES CertifiedMarch 19, 2024
✔ NPI 1124715222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 404969
Also ListedRegistered NurseTaxonomy 163W00000X · License 758875 (NY)
2613 W HENRIETTA RD STE F, Rochester, NY 14623
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nathaniel Johnson Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14623 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 Nathaniel Johnson's NPI number?

The NPI number for Nathaniel Johnson is 1124715222. It was assigned to this individual provider in the NPPES registry on April 19, 2023.

Where is Nathaniel Johnson located?

Nathaniel Johnson practices at 2613 W Henrietta Rd Ste F, Rochester, NY 14623. The listed phone number is (585) 702-2612.

What is Nathaniel Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Nathaniel Johnson enrolled in Medicare?

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

What insurance does Nathaniel Johnson accept?

Health plans from Providence Health Plan list Nathaniel 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.

When was this NPI record last updated?

The NPPES record for Nathaniel Johnson was last updated on March 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.