MANDI JO JOHNSON FNP-BC
NPI 1184090920
Nurse Practitioner - Family in Grantsville, WV

Q: What is Mandi Johnson's NPI number?

The NPI number for Mandi Johnson is 1184090920. It was assigned to this individual provider in the NPPES registry on August 17, 2015.

Q: What is Mandi Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mandi Johnson was last updated on August 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 August 17, 2015PECOS EnrolledAccepts Medicare Assignment

186 HOSPITAL DR, GRANTSVILLE, WV 26147(304) 354-9244(304) 354-5963 Get Directions Write a Review

NPPES record last updated: August 22, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mandi Jo Johnson Fnp-bc NPPES

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

MANDI JO JOHNSON FNP-BC (NPI 1184090920) is an individual family provider in Grantsville, West Virginia, licensed in West Virginia (75549) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with Minnie Hamilton Health System, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1184090920

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMANDI JO JOHNSONCredential: FNP-BC

Location Address186 HOSPITAL DRGrantsville, WV 26147

Mailing Address186 Hospital DrGrantsville, WV 26147-7100 · (304) 354-9244 · Fax (304) 354-5963

Phone(304) 354-9244

Fax(304) 354-5963

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateAugust 17, 2015

Last NPPES UpdateAugust 22, 2018

✔ NPI 1184090920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in WV · 75549

186 HOSPITAL DR, Grantsville, WV 26147

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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

Mandi Jo Johnson Fnp-bc 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 ID9133424989

PECOS Enrollment IDI20160216002572

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Minnie Hamilton Health System

Critical Access Hospitals · Grantsville, WV

OwnershipVoluntary non-profit - Private

CMS Certification Number511303

Location186 Hospital DriveGrantsville, WV 26147 · Calhoun County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26147 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$21.30 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$119.41 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

TERESA D RITCHIE FNP

Nurse Practitioner