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MRS. AMANDA E JOHNSON MSN, PMHNP-BC
NPI 1184221178
Nurse Practitioner - Psychiatric/Mental Health in Rochester, NY

Active since October 03, 2020PECOS Enrolled
339 EAST AVE STE 303, ROCHESTER, NY 14604(315) 359-1787(585) 434-2635 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 21, 2025, Feb 4, 2025, Dec 31, 2024 and 4 more (7 updates tracked since 2020).

About Mrs. Amanda E Johnson Msn, Pmhnp-bc NPPES

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

MRS. AMANDA E JOHNSON MSN, PMHNP-BC (NPI 1184221178) is an individual psychiatric/mental health provider in Rochester, New York, licensed in New York (405842) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Clifton Springs.

NPPES Registry Identity

NPI1184221178
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. AMANDA E JOHNSONCredential: MSN, PMHNP-BC
Location Address339 EAST AVE STE 303Rochester, NY 14604-2615
Mailing Address339 East Ave Ste 303Rochester, NY 14604-2615 · (585) 434-2633 · Fax (585) 434-2635
Phone(315) 359-1787
Fax(585) 434-2635
Sole ProprietorNo
Enumeration DateOctober 3, 2020
Last NPPES UpdateFebruary 21, 20257 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2025
✔ NPI 1184221178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 405842
Also ListedRegistered NurseTaxonomy 163W00000X · License 724072 (NY)
339 EAST AVE STE 303, Rochester, NY 14604
Open in Google Maps ↗

Secondary Practice Location 1

Location 12 Coulter RdClifton Springs, NY 14432-1122 · Phone (315) 462-1050

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Amanda E Johnson Msn, Pmhnp-bc 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 Reassignments

2

Medicare enrollment records show Amanda Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clifton Springs Sanitarium Co
27 mi
General Acute Care Hospital
2 COULTER RD
Clifton Springs, NY 14432
  • Reassigned Medicare billing, New York enrollment
  • 872 clinicians in this Medicare group
NPI 1366505463 (315) 462-9561
Sound Mind Nurse Practitioner In Psychiatry PLLC
198 mi
Psychiatric/Mental Health
418 BROADWAY # 11771
Albany, NY 12207
  • Reassigned Medicare billing, New York enrollment
NPI 1174458186 (585) 252-4401

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 14604 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 3

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

DIANE DERUYTER LMHC
Counselor (Mental Health)
339 EAST AVE STE 303
ROCHESTER, NY 14604
Monroe County (585) 434-2633
STACEY ANN BASTIEN LMHC
Counselor (Mental Health)
339 EAST AVE STE 303
ROCHESTER, NY 14604
Monroe County (585) 434-2633
MISS RANDI NICOLE BISBANO MS, RN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
339 EAST AVE STE 303
ROCHESTER, NY 14604
Monroe County (585) 434-2633

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 Amanda Johnson's NPI number?

The NPI number for Amanda Johnson is 1184221178. It was assigned to this individual provider in the NPPES registry on October 3, 2020.

Where is Amanda Johnson located?

Amanda Johnson practices at 339 East Ave Ste 303, Rochester, NY 14604. The listed phone number is (315) 359-1787.

What is Amanda Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Amanda Johnson enrolled in Medicare?

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

Which organizations bill Medicare for Amanda Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Johnson reassigns Medicare benefits to 2 organizations: Clifton Springs Sanitarium Co (Clifton Springs, NY) and Sound Mind Nurse Practitioner In Psychiatry PLLC (Albany, NY). Each 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 Amanda Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amanda Johnson was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.