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CONNIE DENISE JOHNSON-WILTZ FNP-BC
NPI 1306354261
Nurse Practitioner - Family in Port Arthur, TX

Active since January 12, 2018PECOS EnrolledAccepts Medicare Assignment
2933 PARK PLAZA LN, PORT ARTHUR, TX 77642(409) 983-1899(409) 300-4310 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 3, 2023, Jan 12, 2018 (2 updates tracked since 2018).

About Connie Denise Johnson-wiltz Fnp-bc NPPES

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

CONNIE DENISE JOHNSON-WILTZ FNP-BC (NPI 1306354261) is an individual family provider in Port Arthur, Texas, licensed in Texas (703409) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, is affiliated with Christus Southeast Texas- St Elizabeth, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1306354261
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCONNIE DENISE JOHNSON-WILTZCredential: FNP-BC
Location Address2933 PARK PLAZA LNPort Arthur, TX 77642-5516
Mailing Address2933 Park Plaza LnPort Arthur, TX 77642-5516 · (409) 983-1899 · Fax (409) 300-4310
Phone(409) 983-1899
Fax(409) 300-4310
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 12, 2018
Last NPPES UpdateOctober 3, 20232 updates tracked since enumeration
NPPES CertifiedOctober 3, 2023
✔ NPI 1306354261 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 TX · 703409
2933 PARK PLAZA LN, Port Arthur, TX 77642
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Community Health Choice and more.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

Connie Denise Johnson-wiltz Fnp-bc 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 ID2466716592
PECOS Enrollment IDI20180426000017
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.

Hospital Affiliations CMS Care Compare

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

Christus Southeast Texas- St Elizabeth

Acute Care Hospitals · Beaumont, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450034
Location2830 Calder AvenueBeaumont, TX 77702 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77642 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
$83.80 typical visit price
range $54.04 – $164.93
Typical copayment $20.95 (range $13.51 – $41.23)
Most-billed visit code 99203
Established Patient
$95.83 typical visit price
range $17.17 – $134.47
Typical copayment $23.95 (range $4.29 – $33.61)
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 3

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

UKANTI HEALTHCARE SERVICES PLLC
Nurse Practitioner (Psychiatric/Mental Health)
2933 PARK PLAZA LN
PORT ARTHUR, TX 77642
Jefferson County (409) 234-9888
COMPLETE HEALTH CARE
Nurse Practitioner (Family)
2933 PARK PLAZA LN
PORT ARTHUR, TX 77642
Jefferson County (409) 983-1899
TRACIE DALENE UPDIKE M.D.
Family Medicine
2933 PARK PLAZA LN
PORT ARTHUR, TX 77642
Jefferson County (409) 983-1899

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 Connie Johnson-wiltz's NPI number?

The NPI number for Connie Johnson-wiltz is 1306354261. It was assigned to this individual provider in the NPPES registry on January 12, 2018.

Where is Connie Johnson-wiltz located?

Connie Johnson-wiltz practices at 2933 Park Plaza Ln, Port Arthur, TX 77642. The listed phone number is (409) 983-1899.

What is Connie Johnson-wiltz's specialty?

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

Is Connie Johnson-wiltz enrolled in Medicare?

Yes. Connie Johnson-wiltz 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 Connie Johnson-wiltz accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Community Health Choice and UnitedHealthcare list Connie Johnson-wiltz 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 Connie Johnson-wiltz affiliated with any hospitals?

According to CMS data, Connie Johnson-wiltz is affiliated with Christus Southeast Texas- St Elizabeth.

When was this NPI record last updated?

The NPPES record for Connie Johnson-wiltz was last updated on October 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.