JENNIFER MARIE JOHNSON FNP-C
NPI 1205683869
Nurse Practitioner - Family in Gary, WV
About Jennifer Marie Johnson Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER MARIE JOHNSON FNP-C (NPI 1205683869) is an individual family provider in Gary, West Virginia, licensed in West Virginia (119260) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, is affiliated with Princeton Community Hospital, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jennifer Marie Johnson Fnp-c 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jennifer Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gary, WV 24836
- Reassigned Medicare billing, West Virginia enrollment
- Also billed through NPI 1295033009 (West Virginia), NPI 1639842818 (West Virginia)
- 29 clinicians in this Medicare group
Dawes, WV 25054
- Reassigned Medicare billing, West Virginia enrollment
- 74 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Princeton Community Hospital
Acute Care Hospitals · Princeton, WVWelch Community Hospital
Acute Care Hospitals · Welch, WVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 24836 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Jennifer Johnson's NPI number?
The NPI number for Jennifer Johnson is 1205683869. It was assigned to this individual provider in the NPPES registry on May 2, 2024.
Where is Jennifer Johnson located?
Jennifer Johnson practices at PO Box 507, Gary, WV 24836. The listed phone number is (304) 448-2101.
What is Jennifer Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jennifer Johnson enrolled in Medicare?
Yes. Jennifer Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jennifer Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Johnson reassigns Medicare benefits to 2 organizations: Tug River Health Association, Inc (Gary, WV) and Cabin Creek Health Center, Inc. (Dawes, WV). 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 Jennifer Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jennifer Johnson accept?
Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Jennifer 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.
Is Jennifer Johnson affiliated with any hospitals?
According to CMS data, Jennifer Johnson is affiliated with Princeton Community Hospital and Welch Community Hospital.
When was this NPI record last updated?
The NPPES record for Jennifer Johnson was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Jennifer Marie Johnson, FNP-C · NPI 1205683869
Family physician in Gary, West Virginia. Individual provider, active in the CMS NPPES registry since May 2, 2024.
## Identity
- **NPI:** 1205683869 (Entity type: Individual)
- **Enumerated:** May 2, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 119260 (West Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** PO BOX 507, Gary, WV 24836-0507
- **Phone:** (304) 448-2101
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Tug River Health Association, Inc (NPI 1407922891, Gary, WV); Cabin Creek Health Center, Inc. (NPI 1366495525, Dawes, WV) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** April 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1205683869) · Data from the CMS NPPES public registry.