MR. JERMAINE ANTONIO JOHNSON PMHNP-BC
NPI 1366003733
Nurse Practitioner - Psychiatric/Mental Health in Shreveport, LA
About Mr. Jermaine Antonio Johnson Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JERMAINE ANTONIO JOHNSON PMHNP-BC (NPI 1366003733) is an individual psychiatric/mental health provider in Shreveport, Louisiana, licensed in Louisiana (203158) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 3
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
Mr. Jermaine Antonio Johnson Pmhnp-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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 71105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jermaine Johnson's NPI number?
The NPI number for Jermaine Johnson is 1366003733. It was assigned to this individual provider in the NPPES registry on June 25, 2019.
Where is Jermaine Johnson located?
Jermaine Johnson practices at 3341 Youree Dr Ste 205, Shreveport, LA 71105. The listed phone number is (318) 219-4167.
What is Jermaine Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jermaine Johnson enrolled in Medicare?
Yes. Jermaine 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.
When was this NPI record last updated?
The NPPES record for Jermaine Johnson was last updated on July 30, 2024. 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.
# Mr. Jermaine Antonio Johnson, PMHNP-BC · NPI 1366003733
Psychiatric/Mental Health physician in Shreveport, Louisiana. Individual provider, active in the CMS NPPES registry since June 25, 2019.
## Identity
- **NPI:** 1366003733 (Entity type: Individual)
- **Enumerated:** June 25, 2019
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 203158 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 3341 YOUREE DR STE 205, Shreveport, LA 71105-2149
- **Phone:** (318) 219-4167
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** July 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1366003733) · Data from the CMS NPPES public registry.