MRS. LYDIA ZIMMER JOHNSON R.N.
NPI 1255750626
Nurse Practitioner in Raleigh, NC

Active since April 14, 2014PECOS Enrolled
5613 DURALEIGH RD, SUITE 101, RALEIGH, NC 27612(919) 782-4597(919) 784-0089 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 19, 2024, Mar 14, 2019, Mar 8, 2019 (3 updates tracked since 2019).

About Mrs. Lydia Zimmer Johnson R.n. NPPES

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

MRS. LYDIA ZIMMER JOHNSON R.N. (NPI 1255750626) is an individual nurse practitioner in Raleigh, North Carolina, licensed in North Carolina (5011443) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255750626
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. LYDIA ZIMMER JOHNSONCredential: R.N.
Location Address5613 DURALEIGH RD, SUITE 101Raleigh, NC 27612-2694
Mailing Address5613 Duraleigh Rd, Suite 101Raleigh, NC 27612-2694 · (919) 782-4597 · Fax (919) 784-0089
Fax(919) 784-0089
Sole ProprietorYes
Enumeration DateApril 14, 2014
Last NPPES UpdateSeptember 19, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
NPI 1255750626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NC · 5011443
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License 261954 (NC)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 5011443 (NC)
5613 DURALEIGH RD, Raleigh, NC 27612

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 (PECOS)

Mrs. Lydia Zimmer Johnson R.n. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27612 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Other Providers at the Same Location NPPES 11

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

Nurse Practitioner (Psychiatric/Mental Health)
5613 DURALEIGH RD, SUITE 101
RALEIGH, NC 27612
Social Worker (Clinical)
5613 DURALEIGH RD, SUITE 101
RALEIGH, NC 27612
Counselor (Professional)
5613 DURALEIGH RD, STE. 161
RALEIGH, NC 27612
Social Worker (Clinical)
5613 DURALEIGH RD, SUITE 161
RALEIGH, NC 27612
Counselor (Mental Health)
5613 DURALEIGH RD, SUITE 101
RALEIGH, NC 27612
Social Worker (Clinical)
5613 DURALEIGH RD, SUITE 161
RALEIGH, NC 27612
Prosthetic/Orthotic Supplier
5613 DURALEIGH RD
RALEIGH, NC 27612
Social Worker (Clinical)
5613 DURALEIGH RD, SUITE 161
RALEIGH, NC 27612

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 Lydia Johnson's NPI number?

The NPI number for Lydia Johnson is 1255750626. It was assigned to this individual provider in the NPPES registry on April 14, 2014.

Where is Lydia Johnson located?

Lydia Johnson practices at 5613 Duraleigh Rd Suite 101, Raleigh, NC 27612. The listed phone number is (919) 782-4597.

What is Lydia Johnson's specialty?

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

Is Lydia Johnson enrolled in Medicare?

Yes. Lydia Johnson is registered in the Medicare PECOS enrollment system.

What insurance does Lydia Johnson accept?

Health plans from Blue Cross and Blue Shield of NC list Lydia 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 Lydia Johnson was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.