HOLLY LYNN JOHNSON
NPI 1174115455
Nurse Practitioner - Psychiatric/Mental Health in Mentor, OH

Q: 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.

Q: 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.

Q: 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.

Active since February 08, 2021PECOS EnrolledAccepts Medicare Assignment

8701 MENTOR AVE, MENTOR, OH 44060(440) 221-9969 Get Directions Write a Review

NPPES record last updated: February 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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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

NPI1174115455

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameHOLLY LYNN JOHNSON

Location Address8701 MENTOR AVEMentor, OH 44060-6103

Mailing Address10431 Kile RdChardon, OH 44024-9582 · (440) 221-9969

Phone(440) 221-9969

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateFebruary 8, 2021

NPPES CertifiedFebruary 8, 2021

✔ NPI 1174115455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in OH · 0028213

8701 MENTOR AVE, Mentor, OH 44060

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

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.

PECOS PAC ID2961881032

PECOS Enrollment IDI20220620001988

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.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

98 services48 patients

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, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number360245

Location2863 State Route 45Rock Creek, OH 44084 · Ashtabula County

Physician 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.

New Patient

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 15

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

DR. BAHMAN YAMINI SHARIF M.D.

Psychiatry & Neurology (Psychiatry)