ANDREA COLETTE JOHNSON ARNP
NPI 1245364157
Nurse Practitioner - Family in High Springs, FL

NPI Status: Active since March 15, 2007

Contact Information

19204 NW US HIGHWAY 441
HIGH SPRINGS, FL
ZIP 32643
Phone: (386) 454-7746
Fax: (386) 454-3034

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  • Individual
  • Female
  • Years of Experience 21
  • Nurse Practitioner
  • Family
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About ANDREA JOHNSON

Andrea Johnson is a provider established in High Springs, Florida and her medical specialization is Nurse Practitioner with a focus in family with more than 21 years of experience. The healthcare provider is registered in the NPI registry with number 1245364157 assigned on March 2007. The practitioner's primary taxonomy code is 363LF0000X with license number ARNP9191956 (FL). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1245364157
Provider Name
ANDREA COLETTE JOHNSON ARNP
Gender
Female
Entity Type
Individual
Location Address
19204 NW US HIGHWAY 441 HIGH SPRINGS, FL 32643
Location Phone
(386) 454-7746
Location Fax
(386) 454-3034
Mailing Address
PO BOX 3614 OCALA, FL 34478
Mailing Phone
(352) 817-7622
Medical School Name
OTHER
Graduation Year
2003
Is Sole Proprietor?
No
Enumeration Date
03-15-2007
Last Update Date
03-22-2021
Code Navigator

A nurse practitioner (NP) like Andrea Johnson is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Andrea Johnson is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $22.56 for a new patient copayment and $25.94 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
ARNP9191956
License State
FL

Location Map

Secondary Locations

  • 1645 Palm Beach Lakes Blvd Ste 1200
    West Palm Beach, FL 33401
    (386) 454-7746
  • 2323 NW 57TH PL
    OCALA, FL 34475
    (352) 817-7622

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LP2300XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Primary Care

APRN9191956 (FL)
2363LW0102XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Women's Health

APRN9191956 (FL)
3363LX0106XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Occupational Health

ARNP9191956 (FL)
4363LX0106XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Occupational Health

APRN9191956 (FL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Florida Blue (BlueCross BlueShield FL)

    • BlueOptions Bronze (HSA) 24J01-10 (Rewards $$$ / $4 Condition Care Rx) - PPO
    • BlueOptions Bronze 24J01-04 ($0 Virtual Visits / 3 PCP Visits for $0 then $40 / Rewards $$$) - PPO
    • BlueOptions Bronze 24J01-06 ($0 Virtual Visits / Rewards $$$) - PPO
    • BlueOptions Bronze 24J01-17 ($0 Virtual Visits / $50 PCP Visits / Rewards $$$) - PPO
    • BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards $$$) - PPO
    • BlueOptions Gold 24J01-09 ($0 Virtual Visits / $20 PCP Visits / $15 Generic Meds / Rewards $$$) - PPO
    • BlueOptions Gold 24J01-12 ($0 Virtual Visits / $20 Labs / Rewards $$$) - PPO
    • BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards $$$) - PPO
    • BlueOptions Platinum 24J01-05 ($0 Virtual Visits / Rewards $$$) - PPO
    • BlueOptions Platinum 24J01-08 ($0 Virtual Visits / Rewards $$$) - PPO
    • BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards $$$) - PPO
    • BlueOptions Silver 24J01-03 ($0 Virtual Visits / $0 Labs / Rewards $$$) - PPO
    • BlueOptions Silver 24J01-07 ($0 Virtual Visits / Rewards $$$) - PPO
    • BlueOptions Silver 24J01-19S ($40 PCP Visits / Multilingual Available / Rewards $$$) - PPO
  • Florida Blue HMO (a BlueCross BlueShield FL company)

    • BlueCare Bronze (HSA) 24K01-09 (Rewards $$$ / $4 Condition Care Rx) - POS
    • BlueCare Bronze 24K01-03 ($0 Virtual Visits / 3 PCP Visits for $0 then $40 / Rewards $$$) - POS
    • BlueCare Bronze 24K01-05 ($0 Virtual Visits / Rewards $$$) - POS
    • BlueCare Bronze 24K01-25 ($0 Virtual Visits / $50 PCP Visit / $30 Generic Meds / Rewards $$$) - POS
    • BlueCare Bronze 24K01-31S (Multilingual Available / Rewards $$$) - POS
    • BlueCare Bronze 24K02-17 ($0 Virtual Visits / 3 PCP Visits for $0 then $40 / Rewards $$$) - POS
    • BlueCare Bronze 24K02-18 ($0 Virtual Visits / Rewards $$$) - POS
    • BlueCare Bronze 24K02-23 ($0 Virtual Visits / $50 PCP Visit / $30 Generic Meds / Rewards $$$) - POS
    • BlueCare Bronze 24K02-26S (Multilingual Available / Rewards $$$) - POS
    • BlueCare Gold 24K01-08 ($0 Virtual Visits / $20 PCP Visit / $15 Generic Meds / Rewards $$$) - POS
    • BlueCare Gold 24K01-10 ($0 Virtual Visits / $20 Labs / Rewards $$$) - POS
    • BlueCare Gold 24K01-33S ($30 PCP Visit / Multilingual Available/ Rewards $$$) - POS
    • BlueCare Gold 24K02-20 ($0 Virtual Visits / $20 PCP Visit / $15 Generic Meds / Rewards $$$) - POS
    • BlueCare Gold 24K02-28S ($30 PCP Visits / Multilingual Available/ Rewards $$$) - POS
    • BlueCare Platinum 24K01-04 ($0 Virtual Visits / Rewards $$$) - POS
  • Oscar Insurance Company of Florida

    • Bronze Classic - EPO
    • Bronze Classic 4700 - EPO
    • Bronze Classic Standard - EPO
    • Bronze Elite + PCP Saver Plus - EPO
    • Bronze Elite + Specialist Saver Plus - EPO
    • Bronze Elite Saver Plus - EPO
    • Gold Classic - EPO
    • Gold Classic Standard - EPO
    • Gold Elite - EPO
    • Gold Elite Saver Plus - EPO
    • Secure - EPO
    • Silver Classic - EPO
    • Silver Classic Standard - EPO
    • Silver Elite - EPO
    • Silver Elite Saver Plus - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

PECOS Enrollment and Medicare Participation Status

Andrea Johnson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7719914449

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20050725000282

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 32643 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $90.24
  • Minimum New Patient Price $58.4
  • Maximum New Patient Price $178.79
  • Average New Patient Copayment $22.56
  • Minimum New Patient Copayment $14.6
  • Maximum New Patient Copayment $44.69

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $103.76
  • Minimum Established Patient Price $17.74
  • Maximum Established Patient Price $145.28
  • Average Established Patient Copayment $25.94
  • Minimum Established Patient Copayment $4.43
  • Maximum Established Patient Copayment $36.32

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for ANDREA COLETTE JOHNSON ARNP

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1245364157
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2285668110
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 6 + 6 + 8 + 1 + 1 + 0 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1245364157 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1598309718WELLSPRINGS HEALTH CARE PARTNERS, INC.
Organization
Clinic/Center19204 NW US HIGHWAY 441
HIGH SPRINGS, FL 32643
(386) 454-7746
1679892616MS. KRISTIE JOHNSON MSN,ARNP,PMHNP-BC
Individual
Nurse Practitioner (Psychiatric/Mental Health)19204 NW US HIGHWAY 441
HIGH SPRINGS, FL 32643
(813) 461-9652

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245364157, enumerated in the NPI registry as an "individual" on March 15, 2007

The provider is located at 19204 Nw Us Highway 441 High Springs, Fl 32643 and the phone number is (386) 454-7746

The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

The provider has more than 21 years of experience.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 11, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $90.24 with an average copayment of $22.56 for new patient appointments. Established patients should expect a typical charge of $103.76 and an average copayment of 25.94. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on March 15, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.