HOLLY LYNN JOHNSON
NPI 1174115455
Nurse Practitioner - Psychiatric/Mental Health in Mentor, OH
About Holly Lynn Johnson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLLY LYNN JOHNSON (NPI 1174115455) is an individual psychiatric/mental health provider in Mentor, Ohio, licensed in Ohio (0028213) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, is affiliated with Glenbeigh Health Sources, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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
Holly Lynn 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.
Medicare Billing Reassignment
Medicare enrollment records show Holly Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cleveland, OH 44115
- Reassigned Medicare billing, Ohio enrollment
- 12 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
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Glenbeigh Health Sources
Acute Care Hospitals · Rock Creek, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 44060 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MENTOR, OH 44060
MENTOR, OH 44060
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 Holly Johnson's NPI number?
The NPI number for Holly Johnson is 1174115455. It was assigned to this individual provider in the NPPES registry on February 8, 2021.
Where is Holly Johnson located?
Holly Johnson practices at 8701 Mentor Ave, Mentor, OH 44060. The listed phone number is (440) 221-9969.
What is Holly Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Holly Johnson enrolled in Medicare?
Yes. Holly 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 organization bills Medicare for Holly Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Holly Johnson reassigns Medicare benefits to Gma Consultants Inc (Cleveland, OH). The 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 Holly Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Holly Johnson accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 2 other insurers list Holly 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.
Is Holly Johnson affiliated with any hospitals?
According to CMS data, Holly Johnson is affiliated with Glenbeigh Health Sources.
When was this NPI record last updated?
The NPPES record for Holly Johnson was last updated on February 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Holly Lynn Johnson · NPI 1174115455
Psychiatric/Mental Health physician in Mentor, Ohio. Individual provider, active in the CMS NPPES registry since February 8, 2021.
## Identity
- **NPI:** 1174115455 (Entity type: Individual)
- **Enumerated:** February 8, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 0028213 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 8701 MENTOR AVE, Mentor, OH 44060-6103
- **Phone:** (440) 221-9969
## 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:** Gma Consultants Inc (NPI 1285829135, Cleveland, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** February 8, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1174115455) · Data from the CMS NPPES public registry.