TRACI JOHNSON FNP-C
NPI 1275503468
Nurse Practitioner - Family in St. Augustine, FL
About Traci Johnson Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRACI JOHNSON FNP-C (NPI 1275503468) is an individual family provider in St. Augustine, Florida, licensed in Florida (11017334) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Traci Johnson Fnp-c 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.
Medicare Billing Reassignment
Medicare enrollment records show Traci Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rockville, MD 20854
- Reassigned Medicare billing, Florida enrollment
- 517 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 8
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32084 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Traci Johnson's NPI number?
The NPI number for Traci Johnson is 1275503468. It was assigned to this individual provider in the NPPES registry on January 23, 2006.
Where is Traci Johnson located?
Traci Johnson practices at 2703 North Ponce Deleon Blvd, St. Augustine, FL 32084. The listed phone number is (904) 824-8328.
What is Traci Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Traci Johnson enrolled in Medicare?
Yes. Traci 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.
Which organization bills Medicare for Traci Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Traci Johnson reassigns Medicare benefits to Minuteclinic LLC (Rockville, MD). 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 Traci Johnson'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 Traci Johnson was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Traci Johnson, FNP-C · NPI 1275503468
Family physician in St. Augustine, Florida. Individual provider, active in the CMS NPPES registry since January 23, 2006.
## Identity
- **NPI:** 1275503468 (Entity type: Individual)
- **Enumerated:** January 23, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 11017334 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 2703 NORTH PONCE DELEON BLVD, St. Augustine, FL 32084-2556
- **Phone:** (904) 824-8328
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Minuteclinic LLC (NPI 1134191836, Rockville, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** March 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1275503468) · Data from the CMS NPPES public registry.