MRS. JENNIFER MICHELLE JOHNSON CNM, WHNP, FNP
NPI 1184115834
Nurse Practitioner - Family in Statesville, NC

Q: What is Jennifer Johnson's NPI number?

The NPI number for Jennifer Johnson is 1184115834. It was assigned to this individual provider in the NPPES registry on May 29, 2018.

Q: What is Jennifer 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 Jennifer Johnson was last updated on October 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 May 29, 2018PECOS Enrolled

1420 FERN CREEK DR, STATESVILLE, NC 28625(704) 380-3722(704) 380-3723 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 18, 2023, Jul 24, 2019 (2 updates tracked since 2019).

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About Mrs. Jennifer Michelle Johnson Cnm, Whnp, Fnp NPPES

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

MRS. JENNIFER MICHELLE JOHNSON CNM, WHNP, FNP (NPI 1184115834) is an individual family provider in Statesville, North Carolina, licensed in North Carolina (689) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184115834

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. JENNIFER MICHELLE JOHNSONCredential: CNM, WHNP, FNP

Location Address1420 FERN CREEK DRStatesville, NC 28625-9376

Mailing Address1420 Fern Creek DrStatesville, NC 28625-9376 · (704) 437-0841 · Fax (704) 380-3723

Phone(704) 380-3722

Fax(704) 380-3723

Sole ProprietorNo

Enumeration DateMay 29, 2018

Last NPPES UpdateOctober 18, 20232 updates tracked since enumeration

NPPES CertifiedOctober 18, 2023

✔ NPI 1184115834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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

Taxonomy Code363LF0000X

License✔ Licensed in NC · 689

Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License 5011496 (NC)

Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X · License 689 (NC)

1420 FERN CREEK DR, Statesville, NC 28625

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jennifer Michelle Johnson Cnm, Whnp, Fnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Natural Beginnings Birth And Wellness Center

Same address

Clinic/Center

1420 FERN CREEK DR
Statesville, NC 28625

Reassigned Medicare billing, North Carolina enrollment
8 clinicians in this Medicare group

NPI 1881979011 (704) 380-3722

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28625 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

MARCIA JAMES C.N.M.

Advanced Practice Midwife