AMANDA GRACE JOHNSON
NPI 1376289793
Student in an Organized Health Care Education/Training Program in Quincy, MA
About Amanda Grace Johnson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA GRACE JOHNSON (NPI 1376289793) is an individual student in an organized health care education/training program in Quincy, Massachusetts and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amanda Grace Johnson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Amanda Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Quincy, MA 02169
- Reassigned Medicare billing, Massachusetts enrollment
- 101 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
QUINCY, MA 02169
QUINCY, MA 02169
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 Amanda Johnson's NPI number?
The NPI number for Amanda Johnson is 1376289793. It was assigned to this individual provider in the NPPES registry on May 9, 2022.
Where is Amanda Johnson located?
Amanda Johnson practices at 460 Quincy Ave, Quincy, MA 02169. The listed phone number is (800) 528-4890.
What is Amanda Johnson's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Amanda Johnson enrolled in Medicare?
Yes. Amanda Johnson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Amanda Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Johnson reassigns Medicare benefits to South Shore Mental Health Center, Inc. (Quincy, MA). The 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 Amanda 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 Amanda Johnson was last updated on May 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Amanda Grace Johnson · NPI 1376289793
Student in an Organized Health Care Education/Training Program provider in Quincy, Massachusetts. Individual provider, active in the CMS NPPES registry since May 9, 2022.
## Identity
- **NPI:** 1376289793 (Entity type: Individual)
- **Enumerated:** May 9, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 460 QUINCY AVE, Quincy, MA 02169-8130
- **Phone:** (800) 528-4890
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** South Shore Mental Health Center, Inc. (NPI 1770528317, Quincy, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** May 9, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1376289793) · Data from the CMS NPPES public registry.