CELESTE JOHNSON NURSE PRACTITIONER
NPI 1164996039
Nurse Practitioner - Psychiatric/Mental Health in Deer Park, NY
About Celeste Johnson Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CELESTE JOHNSON NURSE PRACTITIONER (NPI 1164996039) is an individual psychiatric/mental health provider in Deer Park, New York, licensed in New Jersey (26NJ01084700) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Celeste Johnson Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Celeste Johnson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Stony Brook, NY 11794
- Reassigned Medicare billing, New York enrollment
- 261 clinicians in this Medicare group
Bayside, NY 11361
- Reassigned Medicare billing, New York enrollment
- 23 clinicians in this Medicare group
New York, NY 10011
- Reassigned Medicare billing, New York enrollment
- 86 clinicians in this Medicare group
Howell, NJ 07731
- Reassigned Medicare billing, New York enrollment
- 156 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 11729 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Celeste Johnson's NPI number?
The NPI number for Celeste Johnson is 1164996039. It was assigned to this individual provider in the NPPES registry on January 14, 2019.
Where is Celeste Johnson located?
Celeste Johnson practices at 151 Sammis Ave, Deer Park, NY 11729. The listed phone number is (917) 664-9932.
What is Celeste Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Celeste Johnson enrolled in Medicare?
Yes. Celeste Johnson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Celeste Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Celeste Johnson reassigns Medicare benefits to 4 organizations: Stony Brook Internists, University Faculty Practice Corporation (Stony Brook, NY), Nodar Janas MD PC (Bayside, NY), Orenda Psychiatry PLLC (New York, NY) and Supportive Care Psychology Of Ny PC (Howell, NJ). 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 Celeste Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Celeste Johnson accept?
Health plans from Oscar Health list Celeste 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 Celeste Johnson was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Celeste Johnson, NURSE PRACTITIONER · NPI 1164996039
Psychiatric/Mental Health physician in Deer Park, New York. Individual provider, active in the CMS NPPES registry since January 14, 2019.
## Identity
- **NPI:** 1164996039 (Entity type: Individual)
- **Enumerated:** January 14, 2019
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 26NJ01084700 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 151 SAMMIS AVE, Deer Park, NY 11729-6719
- **Phone:** (917) 664-9932
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Stony Brook Internists, University Faculty Practice Corporation (NPI 1821035601, Stony Brook, NY); Nodar Janas MD PC (NPI 1366945339, Bayside, NY); Orenda Psychiatry PLLC (NPI 1528663945, New York, NY); Supportive Care Psychology Of Ny PC (NPI 1104315068, Howell, NJ) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 25, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1164996039) · Data from the CMS NPPES public registry.