MRS. NICOLE LEE JOHNSON FNP
NPI 1285205344
Nurse Practitioner - Family in Liverpool, NY

Q: What is Nicole Johnson's NPI number?

The NPI number for Nicole Johnson is 1285205344. It was assigned to this individual provider in the NPPES registry on July 8, 2021.

Q: What is Nicole Johnson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole Johnson was last updated on July 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 08, 2021PECOS Enrolled

7375 OSWEGO RD, LIVERPOOL, NY 13090(315) 291-0064 Get Directions Write a Review

NPPES record last updated: July 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mrs. Nicole Lee Johnson Fnp NPPES

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

MRS. NICOLE LEE JOHNSON FNP (NPI 1285205344) is an individual family provider in Liverpool, New York, licensed in New York (347749) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285205344

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. NICOLE LEE JOHNSONCredential: FNP

Location Address7375 OSWEGO RDLiverpool, NY 13090-3717

Mailing Address8581 Cobalt DrCicero, NY 13039-8977 · (607) 207-2372

Phone(315) 291-0064

Sole ProprietorNo

Enumeration DateJuly 8, 2021

NPPES CertifiedJuly 8, 2021

✔ NPI 1285205344 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 NY · 347749

7375 OSWEGO RD, Liverpool, NY 13090

Open in Google Maps ↗

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. Nicole Lee Johnson Fnp 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 13090 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

Leave this field empty

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.

JACOB MIR PA-C

Physician Assistant