TAMMY MARIE JOHNSON ARNP
NPI 1295460731
Nurse Practitioner in Council Bluffs, IA

Active since July 19, 2022PECOS EnrolledAccepts Medicare Assignment
73.57/100
CMS Quality Rating
1 EDMUNDSON PL STE 100, COUNCIL BLUFFS, IA 51503(717) 322-4136(717) 322-8129 Get Directions Write a Review

NPPES record last updated: April 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tammy Marie Johnson Arnp NPPES

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

TAMMY MARIE JOHNSON ARNP (NPI 1295460731) is an individual nurse practitioner in Council Bluffs, Iowa, licensed in Iowa (A170098) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Methodist Jennie Edmundson, and maintains a secondary practice location in Council Bluffs.

NPPES Registry Identity

NPI1295460731
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTAMMY MARIE JOHNSONCredential: ARNP
Location Address1 EDMUNDSON PL STE 100Council Bluffs, IA 51503-4659
Mailing AddressPo Box 749495Atlanta, GA 30374-9495 · (239) 432-8331 · Fax (813) 321-1296
Fax(717) 322-8129
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 19, 2022
Last NPPES UpdateApril 20, 2023
NPPES CertifiedApril 20, 2023
NPI 1295460731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IA · A170098
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 ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License A170098 (IA)
1 EDMUNDSON PL STE 100, Council Bluffs, IA 51503

Secondary Practice Location 1

Location 1933 E Pierce StCouncil Bluffs, IA 51503-4626 · Phone (712) 396-4117 · Fax (712) 396-7944

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 and accepts Medicare assignment

Tammy Marie Johnson Arnp 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.

PECOS PAC ID6709262025
PECOS Enrollment IDI20221010002051
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
52 services38 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Methodist Jennie Edmundson

Acute Care Hospitals · Council Bluffs, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160047
Location933 East Pierce StreetCouncil Bluffs, IA 51503 · Pottawattamie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51503 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

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.

73.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.58
Promoting Interoperability98
Improvement Activities40
Cost50.92

Other Providers at the Same Location NPPES 4

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

Internal Medicine (Hematology & Oncology)
1 EDMUNDSON PL STE 100
COUNCIL BLUFFS, IA 51503
Nurse Practitioner
1 EDMUNDSON PL STE 100
COUNCIL BLUFFS, IA 51503
Nurse Practitioner
1 EDMUNDSON PL STE 100
COUNCIL BLUFFS, IA 51503
Nurse Practitioner
1 EDMUNDSON PL STE 100
COUNCIL BLUFFS, IA 51503

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 Tammy Johnson's NPI number?

The NPI number for Tammy Johnson is 1295460731. It was assigned to this individual provider in the NPPES registry on July 19, 2022.

Where is Tammy Johnson located?

Tammy Johnson practices at 1 Edmundson Pl Ste 100, Council Bluffs, IA 51503. The listed phone number is (717) 322-4136.

What is Tammy Johnson's specialty?

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

Is Tammy Johnson enrolled in Medicare?

Yes. Tammy 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.

What insurance does Tammy Johnson accept?

Health plans from Medica and Oscar Insurance Company list Tammy 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.

Is Tammy Johnson affiliated with any hospitals?

According to CMS data, Tammy Johnson is affiliated with Methodist Jennie Edmundson.

When was this NPI record last updated?

The NPPES record for Tammy Johnson was last updated on April 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.