DR. CARRIE LYNN JOHNSON M.D.
NPI 1174525091
Obstetrics & Gynecology in Cape Coral, FL

Active since August 11, 2005PECOS Enrolled
1138 COUNTRY CLUB BLVD, CAPE CORAL, FL 33990(239) 424-1900(239) 424-1904 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 9, 2025, Dec 29, 2020, Nov 2, 2020 and 3 more (6 updates tracked since 2016).

About Dr. Carrie Lynn Johnson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CARRIE LYNN JOHNSON M.D. (NPI 1174525091) is an individual obstetrics & gynecology provider in Cape Coral, Florida, licensed in Florida (ME102875) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1174525091
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. CARRIE LYNN JOHNSONCredential: M.D.
Location Address1138 COUNTRY CLUB BLVDCape Coral, FL 33990-3027
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 424-1900 · Fax (239) 424-1904
Fax(239) 424-1904
Sole ProprietorNo
Enumeration DateAugust 11, 2005
Last NPPES UpdateMay 9, 20256 updates tracked since enumeration
NPPES CertifiedMay 9, 2025
NPI 1174525091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in FL · ME102875 Licensed in OR · MD189072 Licensed in WA · MD61550112 Licensed in IL · 036090783
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1138 COUNTRY CLUB BLVD, Cape Coral, FL 33990

Secondary Practice Locations 2

Location 11350 Hickory StMelbourne, FL 32901-3224 · Phone (407) 975-0406 · Fax (407) 975-0407
Location 2505 NE 87th Ave Ste 160Vancouver, WA 98664-1965 · Phone (360) 514-1060 · Fax (360) 514-1065

Other Identifiers 3

Medicaid008052600FL
Medicaid3025372OH
Medicaid119355500FL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Carrie Lynn Johnson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33990 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
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 6

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

Internal Medicine
1138 COUNTRY CLUB BLVD
CAPE CORAL, FL 33990
Internal Medicine
1138 COUNTRY CLUB BLVD
CAPE CORAL, FL 33990
Obstetrics & Gynecology
1138 COUNTRY CLUB BLVD
CAPE CORAL, FL 33990
Obstetrics & Gynecology
1138 COUNTRY CLUB BLVD
CAPE CORAL, FL 33990
Internal Medicine
1138 COUNTRY CLUB BLVD
CAPE CORAL, FL 33990
Internal Medicine
1138 COUNTRY CLUB BLVD
CAPE CORAL, FL 33990

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 Carrie Johnson's NPI number?

The NPI number for Carrie Johnson is 1174525091. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Where is Carrie Johnson located?

Carrie Johnson practices at 1138 Country Club Blvd, Cape Coral, FL 33990. The listed phone number is (239) 424-1900.

What is Carrie Johnson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Carrie Johnson enrolled in Medicare?

Yes. Carrie Johnson is registered in the Medicare PECOS enrollment system.

What insurance does Carrie Johnson accept?

Health plans from Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers list Carrie 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 Carrie Johnson was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.