MS. EBONY TASHA JOHNSON APRN
NPI 1174004782
Nurse Practitioner - Family in Southington, CT
About Ms. Ebony Tasha Johnson Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. EBONY TASHA JOHNSON APRN (NPI 1174004782) is an individual family provider in Southington, Connecticut, licensed in Connecticut (7774) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Ebony Tasha Johnson Aprn 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.
Medicare Billing Reassignments
3Medicare enrollment records show Ebony Johnson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hartford, CT 06106
- Reassigned Medicare billing, Connecticut enrollment
- 1,921 clinicians in this Medicare group
Hamden, CT 06514
- Reassigned Medicare billing, Connecticut enrollment
- 3,728 clinicians in this Medicare group
Fort Worth, TX 76104
- Reassigned Medicare billing, Connecticut enrollment
- Medicare enrollment name: Carelon Medical Partners Of Arizona PC
- 10 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.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06489 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 Ebony Johnson's NPI number?
The NPI number for Ebony Johnson is 1174004782. It was assigned to this individual provider in the NPPES registry on August 22, 2018.
Where is Ebony Johnson located?
Ebony Johnson practices at 462 Queen St Fl 3, Southington, CT 06489. The listed phone number is (860) 696-2240.
What is Ebony Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Ebony Johnson enrolled in Medicare?
Yes. Ebony Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Ebony Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ebony Johnson reassigns Medicare benefits to 3 organizations: Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT), Yale University (Hamden, CT) and Carelon Medical Partners Of Arizona, P.C. (Fort Worth, TX). 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 Ebony Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ebony Johnson accept?
Health plans from Anthem Blue Cross and Blue Shield list Ebony 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 Ebony Johnson was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Ms. Ebony Tasha Johnson, APRN · NPI 1174004782
Family physician in Southington, Connecticut. Individual provider, active in the CMS NPPES registry since August 22, 2018.
## Identity
- **NPI:** 1174004782 (Entity type: Individual)
- **Enumerated:** August 22, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 7774 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 462 QUEEN ST FL 3, Southington, CT 06489-1801
- **Phone:** (860) 696-2240
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Hartford Healthcare Medical Group Specialists, PLLC (NPI 1023584216, Hartford, CT); Yale University (NPI 1134391824, Hamden, CT); Carelon Medical Partners Of Arizona, P.C. (NPI 1730697483, Fort Worth, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** January 28, 2025
- **Other identifiers:** Other 7774 (CT); Medicaid 008082536 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1174004782) · Data from the CMS NPPES public registry.