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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: November 01, 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, maintains a secondary practice location in Albuquerque, and is a graduate of Other (2024).

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
Phone(505) 322-6687
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
Open in Google Maps ↗

Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Dedrick Johnson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

New Mexico Center For Pain And Wellness, LLC
Same address
Pain Medicine
6330 RIVERSIDE PLAZA LN NW STE 100
Albuquerque, NM 87120
  • Reassigned Medicare billing, New Mexico enrollment
  • 28 clinicians in this Medicare group
NPI 1033803143 (505) 322-6687
Unm Hospital
5.9 mi
General Acute Care Hospital
2211 LOMAS BLVD., N.E.
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 505 clinicians in this Medicare group
NPI 1689747552 (505) 272-1221
Signify Health, LLC
585 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, New Mexico enrollment
  • 193 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

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 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 20

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

JESSICA WOOD
Nurse Practitioner (Family)
6330 RIVERSIDE PLAZA LN NW STE 100
ALBUQUERQUE, NM 87120
Bernalillo County (505) 322-6687
NEW MEXICO CENTER FOR PAIN AND WELLNESS, LLC
Pain Medicine (Pain Medicine)
6330 RIVERSIDE PLAZA LN NW STE 100
ALBUQUERQUE, NM 87120
Bernalillo County (505) 322-6687
ZARA COLON PA
Physician Assistant
6330 RIVERSIDE PLAZA LN NW STE 100
ALBUQUERQUE, NM 87120
Bernalillo County (505) 322-6687
CHADE B GREEN PA-C
Physician Assistant (Medical)
6330 RIVERSIDE PLAZA LN NW STE 100
ALBUQUERQUE, NM 87120
Bernalillo County (505) 322-6687
GERALD STEPHEN COTTO FNP
Nurse Practitioner
6330 RIVERSIDE PLAZA LN NW STE 100
ALBUQUERQUE, NM 87120
Bernalillo County (505) 322-6687
MARISA JEAN TERRY MD
Physical Medicine & Rehabilitation
6330 RIVERSIDE PLAZA LN NW STE 100
ALBUQUERQUE, NM 87120
Bernalillo County (505) 322-6687
SIYUN XIE MD
Anesthesiology
6330 RIVERSIDE PLAZA LN NW STE 100
ALBUQUERQUE, NM 87120
Bernalillo County (505) 322-6687
SEAN PORTMAN PA
Physician Assistant (Medical)
6330 RIVERSIDE PLAZA LN NW STE 100
ALBUQUERQUE, NM 87120
Bernalillo County (505) 322-6687

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.

Which organizations bill Medicare for Dedrick Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dedrick Johnson reassigns Medicare benefits to 3 organizations: New Mexico Center For Pain And Wellness, LLC (Albuquerque, NM), Unm Hospital (Albuquerque, NM) and Signify Health, LLC (Dallas, TX). Each 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 Dedrick 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 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 4 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.