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
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
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.
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.
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 19 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
- **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.