DANIELLE JOHNSTON
NPI 1245708387
Nurse Practitioner - Acute Care in Birmingham, AL

Active since November 07, 2018PECOS EnrolledAccepts Medicare Assignment
1717 6TH AVE S, BIRMINGHAM, AL 35233(800) 822-8816 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 25, 2022, Nov 7, 2018 (2 updates tracked since 2018).

About Danielle Johnston NPPES

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

DANIELLE JOHNSTON (NPI 1245708387) is an individual acute care provider in Birmingham, Alabama, licensed in Alabama (1-148140) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Birmingham, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1245708387
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameDANIELLE JOHNSTON
Location Address1717 6TH AVE SBirmingham, AL 35233-1801
Mailing Address1717 6th Ave SBirmingham, AL 35233-1801
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 7, 2018
Last NPPES UpdateJune 29, 20232 updates tracked since enumeration
NPI 1245708387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in AL · 1-148140
1717 6TH AVE S, Birmingham, AL 35233

Secondary Practice Location 1

Location 11720 2nd Ave SBirmingham, AL 35294-0004 · Phone (205) 934-3231

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

Danielle Johnston 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 ID2466799309
PECOS Enrollment IDI20190130001161
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.
344 services98 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
57 services20 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
37 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35233 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483
DME-Other DME · category DE000N
1 supplier12 claims12 services$814.01 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$72.06 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$31.73 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Surgery
1717 6TH AVE S
BIRMINGHAM, AL 35233
Nurse Practitioner (Acute Care)
1717 6TH AVE S
BIRMINGHAM, AL 35233
Radiology (Diagnostic Radiology)
1717 6TH AVE S
BIRMINGHAM, AL 35233
Nurse Practitioner (Family)
1717 6TH AVE S
BIRMINGHAM, AL 35233
Radiology (Diagnostic Radiology)
1717 6TH AVE S
BIRMINGHAM, AL 35233
Anesthesiology
1717 6TH AVE S
BIRMINGHAM, AL 35233
Nurse Practitioner (Adult Health)
1717 6TH AVE S, SPAIN REHAB CENTER RM 156
BIRMINGHAM, AL 35233
Nurse Practitioner (Acute Care)
1717 6TH AVE S
BIRMINGHAM, AL 35233

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 Danielle Johnston's NPI number?

The NPI number for Danielle Johnston is 1245708387. It was assigned to this individual provider in the NPPES registry on November 7, 2018.

Where is Danielle Johnston located?

Danielle Johnston practices at 1717 6th Ave S, Birmingham, AL 35233. The listed phone number is (800) 822-8816.

What is Danielle Johnston's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Danielle Johnston enrolled in Medicare?

Yes. Danielle Johnston 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 Danielle Johnston accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list Danielle Johnston 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 Danielle Johnston was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.