1. Home
  2. Directory
  3. West Virginia
  4. Gary
  5. Nurse Practitioner
  6. NPI Profile

JENNIFER MARIE JOHNSON FNP-C
NPI 1205683869
Nurse Practitioner - Family in Gary, WV

Active since May 02, 2024PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 6, 2024, May 2, 2024 (2 updates tracked since 2024).

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

NPI1205683869
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER MARIE JOHNSONCredential: FNP-C
Location AddressPO BOX 507Gary, WV 24836-0507
Mailing Address1675 Stewart StWelch, WV 24801-2142 · (304) 888-0514
Phone(304) 448-2101
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 2, 2024
Last NPPES UpdateApril 23, 20252 updates tracked since enumeration
NPPES CertifiedApril 23, 2025
✔ NPI 1205683869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WV · 119260
Also ListedRegistered NurseTaxonomy 163W00000X · License 97296 (WV)
PO BOX 507, Gary, WV 24836
Open in Google Maps ↗

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

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.

PECOS PAC ID1658814793
PECOS Enrollment IDI20240618001953
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 2

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

Princeton Community Hospital

Acute Care Hospitals · Princeton, WV
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number510046
Location122 12th StreetPrinceton, WV 24740 · Mercer County
Emergency services Birthing friendly

Welch Community Hospital

Acute Care Hospitals · Welch, WV
OwnershipGovernment - State
CMS Certification Number510086
Location454 Mcdowell StreetWelch, WV 24801 · Mc Dowell County
Emergency services

Physician 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.

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.

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.

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 17 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.