1. Home
  2. Directory
  3. Virginia
  4. Norfolk
  5. Nurse Practitioner
  6. NPI Profile

CELESTINE D JOHNSON-GARDNER
NPI 1255083911
Nurse Practitioner - Family in Norfolk, VA

Active since January 24, 2022PECOS Enrolled
142 W YORK ST STE 905, NORFOLK, VA 23510(757) 623-3038 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Celestine D Johnson-gardner NPPES

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

CELESTINE D JOHNSON-GARDNER (NPI 1255083911) is an individual family provider in Norfolk, Virginia, licensed in Virginia (0024180947) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (2002).

NPPES Registry Identity

NPI1255083911
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCELESTINE D JOHNSON-GARDNER
Location Address142 W YORK ST STE 905Norfolk, VA 23510-2015
Mailing Address142 W York St Ste 905Norfolk, VA 23510-2015 · (757) 623-3038
Phone(757) 623-3038
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2002
Enumeration DateJanuary 24, 2022
NPPES CertifiedJanuary 24, 2022
✔ NPI 1255083911 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 VA · 0024180947
142 W YORK ST STE 905, Norfolk, VA 23510
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Celestine D Johnson-gardner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103304985
PECOS Enrollment IDI20260203000224, I20260309000431
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 Celestine Johnson-gardner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health, LLC
1,196 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Alabama and Virginia enrollments
  • 456 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23510 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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 Celestine Johnson-gardner's NPI number?

The NPI number for Celestine Johnson-gardner is 1255083911. It was assigned to this individual provider in the NPPES registry on January 24, 2022.

Where is Celestine Johnson-gardner located?

Celestine Johnson-gardner practices at 142 W York St Ste 905, Norfolk, VA 23510. The listed phone number is (757) 623-3038.

What is Celestine Johnson-gardner's specialty?

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

Is Celestine Johnson-gardner enrolled in Medicare?

Yes. Celestine Johnson-gardner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Celestine Johnson-gardner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Celestine Johnson-gardner reassigns Medicare benefits to Signify Health, LLC (Dallas, TX). 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 Celestine Johnson-gardner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Celestine Johnson-gardner was last updated on January 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.