MARY JOHNSON NP
NPI 1407315195
Nurse Practitioner - Family in Mountain Grove, MO
About Mary Johnson Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY JOHNSON NP (NPI 1407315195) is an individual family provider in Mountain Grove, Missouri, licensed in Missouri (2019007175) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
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 and accepts Medicare assignment
Mary Johnson Np 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mary Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mountain Grove, MO 65711
- Reassigned Medicare billing, Missouri enrollment
- Also billed through NPI 1245277631 (Missouri)
- 1,487 clinicians in this Medicare group
Marshfield, MO 65706
- Reassigned Medicare billing, Missouri enrollment
- 7 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65711 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
MOUNTAIN GROVE, MO 65711
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 Mary Johnson's NPI number?
The NPI number for Mary Johnson is 1407315195. It was assigned to this individual provider in the NPPES registry on March 13, 2019.
Where is Mary Johnson located?
Mary Johnson practices at 120 W 16th St, Mountain Grove, MO 65711. The listed phone number is (417) 926-6111.
What is Mary Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mary Johnson enrolled in Medicare?
Yes. Mary 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 Mary Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Johnson reassigns Medicare benefits to 2 organizations: Mercy Clinic Springfield Communities (Mountain Grove, MO) and Fastdoc Urgent Care Centers Of Missouri LLC (Marshfield, MO). 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 Mary 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 Mary Johnson was last updated on January 18, 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.
# Mary Johnson, NP · NPI 1407315195
Family physician in Mountain Grove, Missouri. Individual provider, active in the CMS NPPES registry since March 13, 2019.
## Identity
- **NPI:** 1407315195 (Entity type: Individual)
- **Enumerated:** March 13, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2019007175 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 120 W 16TH ST, Mountain Grove, MO 65711-1039
- **Phone:** (417) 926-6111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mercy Clinic Springfield Communities (NPI 1457480188, Mountain Grove, MO); Fastdoc Urgent Care Centers Of Missouri LLC (NPI 1316733603, Marshfield, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** January 18, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1407315195) · Data from the CMS NPPES public registry.