MRS. MARY ANNE JOHNSON PAC
NPI 1386951465
Physician Assistant - Medical in Reedley, CA

Q: What is Mary Johnson's NPI number?

The NPI number for Mary Johnson is 1386951465. It was assigned to this individual provider in the NPPES registry on September 9, 2010.

Q: What is Mary Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Mary Johnson was last updated on August 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since September 09, 2010PECOS Enrolled

1433 N ACACIA AVE, REEDLEY, CA 93654(559) 391-3100(559) 637-7550 Get Directions Write a Review

NPPES record last updated: August 14, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mrs. Mary Anne Johnson Pac NPPES

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

MRS. MARY ANNE JOHNSON PAC (NPI 1386951465) is an individual medical provider in Reedley, California, licensed in California (PA21162) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386951465

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMRS. MARY ANNE JOHNSONCredential: PAC

Location Address1433 N ACACIA AVEReedley, CA 93654-2102

Mailing Address1479 W Lacey BlvdHanford, CA 93230-5906 · (559) 583-4617 · Fax (559) 583-4625

Phone(559) 391-3100

Fax(559) 637-7550

Sole ProprietorNo

Enumeration DateSeptember 9, 2010

Last NPPES UpdateAugust 14, 2014

✔ NPI 1386951465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CA · PA21162

1433 N ACACIA AVE, Reedley, CA 93654

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Mary Anne Johnson Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers50 claims79 services$4.66 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

3 suppliers20 claims21 services$0.86 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

DEEPAK VIJAYAN NAIR MD

Pediatrics