RACHAEL L JOHNSON NP
NPI 1245421536
Nurse Practitioner in Fort Wayne, IN

Active since August 05, 2007PECOS EnrolledAccepts Medicare Assignment
64.2/100
CMS Quality Rating
2518 E DUPONT RD, FORT WAYNE, IN 46825(260) 432-4400(260) 969-6898 Get Directions Write a Review

NPPES record last updated: January 31, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rachael L Johnson Np NPPES

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

RACHAEL L JOHNSON NP (NPI 1245421536) is an individual nurse practitioner in Fort Wayne, Indiana, licensed in Indiana (71002516A) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1245421536
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameRACHAEL L JOHNSONCredential: NP
Location Address2518 E DUPONT RDFort Wayne, IN 46825-1675
Mailing Address2518 E Dupont RdFort Wayne, IN 46825-1675 · (260) 432-4400 · Fax (260) 969-6898
Fax(260) 969-6898
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 5, 2007
Last NPPES UpdateJanuary 31, 2018
NPI 1245421536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IN · 71002516A
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.
2518 E DUPONT RD, Fort Wayne, IN 46825

Other Identifiers 1

Medicaid200891370IN

Accepted 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

Rachael L Johnson Np 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 ID4082758677
PECOS Enrollment IDI20100220000052
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 9

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.
107 services73 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
50 services50 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
48 services42 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.
33 services30 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
24 services21 patients
Fitting and insertion of vaginal support device 57160
A vaginal support device is a medical tool used to provide support to pelvic organs. During the procedure, a healthcare professional will gently place the device into the appropriate area. This is typically done in a clinical setting and can help with various health conditions.
20 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46825 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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.

64.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.94
Improvement Activities40
Cost28.44

Other Providers at the Same Location NPPES 20

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

Obstetrics & Gynecology
2518 E DUPONT RD
FORT WAYNE, IN 46825
Obstetrics & Gynecology
2518 E DUPONT RD
FORT WAYNE, IN 46825
Advanced Practice Midwife
2518 E DUPONT RD
FORT WAYNE, IN 46825
Obstetrics & Gynecology
2518 E DUPONT RD
FORT WAYNE, IN 46825
Obstetrics & Gynecology
2518 E DUPONT RD
FORT WAYNE, IN 46825
Nurse Practitioner (Family)
2518 E DUPONT RD
FORT WAYNE, IN 46825
Advanced Practice Midwife
2518 E DUPONT RD
FORT WAYNE, IN 46825
Obstetrics & Gynecology (Maternal & Fetal Medicine)
2518 E DUPONT RD
FORT WAYNE, IN 46825

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 Rachael Johnson's NPI number?

The NPI number for Rachael Johnson is 1245421536. It was assigned to this individual provider in the NPPES registry on August 5, 2007.

Where is Rachael Johnson located?

Rachael Johnson practices at 2518 E Dupont Rd, Fort Wayne, IN 46825. The listed phone number is (260) 432-4400.

What is Rachael Johnson's specialty?

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

Is Rachael Johnson enrolled in Medicare?

Yes. Rachael 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 Rachael Johnson accept?

Health plans from CareSource list Rachael 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.

When was this NPI record last updated?

The NPPES record for Rachael Johnson was last updated on January 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.