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MARTY J JOHNSON NP-C
NPI 1215793799
Nurse Practitioner in Bountiful, UT

Active since February 22, 2024PECOS EnrolledAccepts Medicare Assignment
185 S 400 E STE 100, BOUNTIFUL, UT 84010(801) 475-3482 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Marty J Johnson Np-c NPPES

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

MARTY J JOHNSON NP-C (NPI 1215793799) is an individual nurse practitioner in Bountiful, Utah, licensed in Utah (11099893-4405) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS, is affiliated with Lakeview Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1215793799
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMARTY J JOHNSONCredential: NP-C
Location Address185 S 400 E STE 100Bountiful, UT 84010-4862
Mailing AddressPo Box 5546Denver, CO 80217-5546 · (801) 475-3500
Phone(801) 475-3482
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 22, 2024
Last NPPES UpdateApril 22, 2024
NPPES CertifiedApril 22, 2024
✔ NPI 1215793799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in UT · 11099893-4405
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 11099893-4405 (UT)
185 S 400 E STE 100, Bountiful, UT 84010
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and more.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

Marty J Johnson Np-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 ID941648091
PECOS Enrollment IDI20240409001422
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 Marty Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ogden Clinic PC
22 mi
Family Medicine
4650 HARRISON BLVD
Ogden, UT 84403
  • Reassigned Medicare billing, Utah enrollment
  • 182 clinicians in this Medicare group
NPI 1578550083 (801) 475-3000

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

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 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.
31 services28 patients
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.
23 services16 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Lakeview Hospital

Acute Care Hospitals · Bountiful, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number460042
Location630 East Medical DriveBountiful, UT 84010 · Davis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84010 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 8

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

ADRIAN LOPEZ CMHC
Counselor (Mental Health)
185 S 400 E STE 100
BOUNTIFUL, UT 84010
Davis County (801) 298-4112
CONNORIE JEANE MURRAY PA
Physician Assistant
185 S 400 E STE 100
BOUNTIFUL, UT 84010
Davis County (801) 397-6200
TALMAGE RHEAD PA-C
Physician Assistant
185 S 400 E STE 100
BOUNTIFUL, UT 84010
Davis County (801) 397-6200
JENNIFER CRAFTON
Nurse Practitioner
185 S 400 E STE 100
BOUNTIFUL, UT 84010
Davis County (801) 397-6200
DOUGLAS SPENCE KASTELER MD
Family Medicine
185 S 400 E STE 100
BOUNTIFUL, UT 84010
Davis County (801) 397-6200
SCOTT J BEENFIELD PA-C
Physician Assistant
185 S 400 E STE 100
BOUNTIFUL, UT 84010
Davis County (801) 397-6200
SHANE A ARCHIBALD RN, DNP, APRN, FNP-C
Nurse Practitioner (Family)
185 S 400 E STE 100
BOUNTIFUL, UT 84010
Davis County (801) 397-6200
GRAHAM HOOPES BURDETT PA-C
Physician Assistant
185 S 400 E STE 100
BOUNTIFUL, UT 84010
Davis County (801) 397-6200

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 Marty Johnson's NPI number?

The NPI number for Marty Johnson is 1215793799. It was assigned to this individual provider in the NPPES registry on February 22, 2024.

Where is Marty Johnson located?

Marty Johnson practices at 185 S 400 E Ste 100, Bountiful, UT 84010. The listed phone number is (801) 475-3482.

What is Marty Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Marty Johnson enrolled in Medicare?

Yes. Marty 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 organization bills Medicare for Marty Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marty Johnson reassigns Medicare benefits to Ogden Clinic PC (Ogden, UT). The 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 Marty Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marty Johnson accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Marty 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 Marty Johnson affiliated with any hospitals?

According to CMS data, Marty Johnson is affiliated with Lakeview Hospital.

When was this NPI record last updated?

The NPPES record for Marty Johnson was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.