DEDRICK JOHNSON
NPI 1326857012
Nurse Practitioner - Adult Health in Albuquerque, NM

Active since January 06, 2025PECOS EnrolledAccepts Medicare Assignment
6330 RIVERSIDE PLAZA LN NW STE 100, ALBUQUERQUE, NM 87120(505) 322-6687 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 12, 2025, Jan 8, 2025 (2 updates tracked since 2025).

About Dedrick Johnson NPPES

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

DEDRICK JOHNSON (NPI 1326857012) is an individual adult health provider in Albuquerque, New Mexico, licensed in New Mexico (82229) and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1326857012
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameDEDRICK JOHNSON
Location Address6330 RIVERSIDE PLAZA LN NW STE 100Albuquerque, NM 87120-2682
Mailing AddressPo Box 15442Rio Rancho, NM 87174-0442 · (254) 251-6013
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 6, 2025
Last NPPES UpdateJune 8, 20262 updates tracked since enumeration
NPPES CertifiedJune 8, 2026
NPI 1326857012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NM · 82229
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 82229 (NM)
6330 RIVERSIDE PLAZA LN NW STE 100, Albuquerque, NM 87120

Secondary Practice Location 1

Location 12211 Lomas Blvd NEAlbuquerque, NM 87106-2719 · Phone (505) 272-2111

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

Dedrick Johnson 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 ID9436674058
PECOS Enrollment IDI20250416001693
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.

Unm Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number320001
Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87120 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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 19

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

Nurse Practitioner (Family)
6330 RIVERSIDE PLAZA LN NW STE 100
ALBUQUERQUE, NM 87120
Pain Medicine (Pain Medicine)
6330 RIVERSIDE PLAZA LN NW STE 100
ALBUQUERQUE, NM 87120
Physician Assistant
6330 RIVERSIDE PLAZA LN NW STE 100
ALBUQUERQUE, NM 87120
Physician Assistant (Medical)
6330 RIVERSIDE PLAZA LN NW STE 100
ALBUQUERQUE, NM 87120
Nurse Practitioner
6330 RIVERSIDE PLAZA LN NW STE 100
ALBUQUERQUE, NM 87120
Physical Medicine & Rehabilitation
6330 RIVERSIDE PLAZA LN NW STE 100
ALBUQUERQUE, NM 87120
Nurse Practitioner (Acute Care)
6330 RIVERSIDE PLAZA LN NW STE 100
ALBUQUERQUE, NM 87120
Physician Assistant (Medical)
6330 RIVERSIDE PLAZA LN NW STE 100
ALBUQUERQUE, NM 87120

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 Dedrick Johnson's NPI number?

The NPI number for Dedrick Johnson is 1326857012. It was assigned to this individual provider in the NPPES registry on January 6, 2025.

Where is Dedrick Johnson located?

Dedrick Johnson practices at 6330 Riverside Plaza Ln NW Ste 100, Albuquerque, NM 87120. The listed phone number is (505) 322-6687.

What is Dedrick Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Dedrick Johnson enrolled in Medicare?

Yes. Dedrick 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.

Is Dedrick Johnson affiliated with any hospitals?

According to CMS data, Dedrick Johnson is affiliated with Unm Hospital.

When was this NPI record last updated?

The NPPES record for Dedrick Johnson was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.