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MIRIAM BETHEL JOHNSON
NPI 1285512756
Nurse Practitioner - Family in Mount Vernon, NY

Active since August 23, 2025PECOS Enrolled
333 LANGDON AVE, MOUNT VERNON, NY 10553(917) 337-1166 Get Directions Write a Review

NPPES record last updated: August 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Miriam Bethel Johnson NPPES

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

MIRIAM BETHEL JOHNSON (NPI 1285512756) is an individual family provider in Mount Vernon, New York, licensed in New York (357648) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1285512756
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMIRIAM BETHEL JOHNSON
Location Address333 LANGDON AVEMount Vernon, NY 10553-1745
Mailing Address333 Langdon AveMount Vernon, NY 10553-1745 · (917) 337-1166
Phone(917) 337-1166
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 23, 2025
NPPES CertifiedAugust 23, 2025
✔ NPI 1285512756 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 · 357648
333 LANGDON AVE, Mount Vernon, NY 10553
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miriam Bethel Johnson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800380858
PECOS Enrollment IDI20251209000087
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 Miriam Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Montefiore Mount Vernon Hospital
0.8 mi
General Acute Care Hospital
12 N 7TH AVE
Mount Vernon, NY 10550
  • Reassigned Medicare billing, New York enrollment
  • 140 clinicians in this Medicare group
NPI 1013345065 (914) 664-8000

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 10553 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 Miriam Johnson's NPI number?

The NPI number for Miriam Johnson is 1285512756. It was assigned to this individual provider in the NPPES registry on August 23, 2025.

Where is Miriam Johnson located?

Miriam Johnson practices at 333 Langdon Ave, Mount Vernon, NY 10553. The listed phone number is (917) 337-1166.

What is Miriam Johnson's specialty?

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

Is Miriam Johnson enrolled in Medicare?

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

Which organization bills Medicare for Miriam Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miriam Johnson reassigns Medicare benefits to Montefiore Mount Vernon Hospital (Mount Vernon, NY). 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 Miriam 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 Miriam Johnson was last updated on August 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.