RACHEL JOHANSON CNM, WHNP, FNP
NPI 1215136817
Nurse Practitioner - Family in Providence, RI

Q: What is Rachel Johanson's NPI number?

The NPI number for Rachel Johanson is 1215136817. It was assigned to this individual provider in the NPPES registry on July 13, 2007.

Q: What is Rachel Johanson'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 Rachel Johanson was last updated on February 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since July 13, 2007PECOS EnrolledAccepts Medicare Assignment

1195 NORTH MAIN STREET, CNEMG PRIMARY CARE WMC, PROVIDENCE, RI 02904(401) 736-4562(401) 921-9864 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Feb 14, 2025, Nov 15, 2024, Jan 10, 2023 and 7 more (10 updates tracked since 2017).

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About Rachel Johanson Cnm, Whnp, Fnp NPPES

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

RACHEL JOHANSON CNM, WHNP, FNP (NPI 1215136817) is an individual family provider in Providence, Rhode Island, licensed in Rhode Island (APRN00984) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with Kent County Memorial Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1215136817

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameRACHEL JOHANSONCredential: CNM, WHNP, FNP

Location Address1195 NORTH MAIN STREET, CNEMG PRIMARY CARE WMCProvidence, RI 02904-0288

Mailing Address455 Toll Gate Rd, Prc And CredentialingWarwick, RI 02886-2759 · (401) 273-0641 · Fax (401) 273-2919

Phone(401) 736-4562

Fax(401) 921-9864

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateJuly 13, 2007

Last NPPES UpdateFebruary 14, 202510 updates tracked since enumeration

NPPES CertifiedFebruary 14, 2025

✔ NPI 1215136817 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 RI · APRN00984

Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License APRN00984 (RI)

Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X · License CNM00158 (RI)

1195 NORTH MAIN STREET, Providence, RI 02904

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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

Rachel Johanson Cnm, Whnp, Fnp 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 ID7618006198

PECOS Enrollment IDI20220801001294

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

103 services78 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

87 services80 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

25 services25 patients

Hospital Affiliations CMS Care Compare 3

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

Kent County Memorial Hospital

Acute Care Hospitals · Warwick, RI

3/5 CMS rating

OwnershipProprietary

CMS Certification Number410009

Location455 Toll Gate RdWarwick, RI 02886 · Kent County

Emergency services Birthing friendly

Women & Infants Hospital Of Rhode Island

Acute Care Hospitals · Providence, RI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410010

Location101 Dudley StreetProvidence, RI 02905 · Providence County

Emergency services Birthing friendly

The Miriam Hospital

Acute Care Hospitals · Providence, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410012

Location164 Summit AvenueProvidence, RI 02906 · Providence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02904 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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 6

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

IRIS L TONG MD

Internal Medicine