ALYSSA MICHELLE JOHNSON
NPI 1124760137
Nurse Practitioner in Henderson, NC

Q: What is Alyssa Johnson's NPI number?

The NPI number for Alyssa Johnson is 1124760137. It was assigned to this individual provider in the NPPES registry on April 11, 2022.

Q: What is Alyssa Johnson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alyssa Johnson was last updated on December 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 11, 2022PECOS EnrolledAccepts Medicare Assignment

381 RUIN CREEK RD, HENDERSON, NC 27536(252) 430-0666 Get Directions Write a Review

NPPES record last updated: December 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 21, 2022, Aug 24, 2022, Aug 19, 2022 and 1 more (4 updates tracked since 2022).

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About Alyssa Michelle Johnson NPPES

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

ALYSSA MICHELLE JOHNSON (NPI 1124760137) is an individual nurse practitioner in Henderson, North Carolina, licensed in North Carolina (5016785) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Maria Parham Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1124760137

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameALYSSA MICHELLE JOHNSON

Location Address381 RUIN CREEK RDHenderson, NC 27536-2932

Mailing Address381 Ruin Creek RdHenderson, NC 27536-2932 · (252) 430-0666

Phone(252) 430-0666

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateApril 11, 2022

Last NPPES UpdateDecember 21, 20224 updates tracked since enumeration

NPPES CertifiedDecember 21, 2022

✔ NPI 1124760137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NC · 5016785

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.

Also ListedRegistered NurseTaxonomy 163W00000X · License 269713 (NC)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License F0822069 (NC)

381 RUIN CREEK RD, Henderson, NC 27536

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alyssa Michelle Johnson 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 ID648643338

PECOS Enrollment IDI20230228000810

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Maria Parham Medical Center

Acute Care Hospitals · Henderson, NC

2/5 CMS rating

OwnershipProprietary

CMS Certification Number340132

LocationPO Box 59Henderson, NC 27536 · Vance County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27536 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

Other Providers at the Same Location NPPES 20

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

LATISHA DARSHA PATTERSON PA-C

Physician Assistant