ROGER DALE JOHNSON FNP
NPI 1215975362
Nurse Practitioner - Family in Johnson City, TN

Active since June 02, 2006
33.26/100
CMS Quality Rating
207 E MYRTLE AVE, JOHNSON CITY, TN 37601(423) 925-2600(423) 925-2600 Get Directions Write a Review

NPPES record last updated: April 30, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Roger Dale Johnson Fnp NPPES

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

ROGER DALE JOHNSON FNP (NPI 1215975362) is an individual family provider in Johnson City, Tennessee, licensed in Tennessee (TN11991) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1215975362
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameROGER DALE JOHNSONCredential: FNP
Location Address207 E MYRTLE AVEJohnson City, TN 37601-4633
Mailing Address252 Worthington DrKingsport, TN 37663-3180 · (423) 925-2600 · Fax (423) 925-2600
Fax(423) 925-2600
Sole ProprietorNo
Enumeration DateJune 2, 2006
Last NPPES UpdateApril 30, 2008
NPI 1215975362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TN · TN11991
207 E MYRTLE AVE, Johnson City, TN 37601

Other Identifiers 4

Medicare OSCAR/certification3643768
Medicare PIN3643768TN
Medicare UPINQ71587
Medicaid3643768TN

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

33.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality8.51
Promoting Interoperability0
Improvement Activities20
Cost60.71

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Gerontology)
207 E MYRTLE AVE
JOHNSON CITY, TN 37601
Nurse Practitioner (Family)
207 E MYRTLE AVE
JOHNSON CITY, TN 37601
Nurse Practitioner (Family)
207 E MYRTLE AVE
JOHNSON CITY, TN 37601
Nurse Practitioner (Gerontology)
207 E MYRTLE AVE
JOHNSON CITY, TN 37601

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 Roger Johnson's NPI number?

The NPI number for Roger Johnson is 1215975362. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Roger Johnson located?

Roger Johnson practices at 207 E Myrtle Ave, Johnson City, TN 37601. The listed phone number is (423) 925-2600.

What is Roger Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Roger Johnson was last updated on April 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.