MARY JOHNSON NP
NPI 1407315195
Nurse Practitioner - Family in Mountain Grove, MO

Q: 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.

Q: What is Mary Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Johnson was last updated on January 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 13, 2019PECOS Enrolled

120 W 16TH ST, MOUNTAIN GROVE, MO 65711(417) 926-6111 Get Directions Write a Review

NPPES record last updated: January 18, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 18, 2022, Mar 13, 2019 (2 updates tracked since 2019).

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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.

NPPES Registry Identity

NPI1407315195

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARY JOHNSONCredential: NP

Location Address120 W 16TH STMountain Grove, MO 65711-1039

Mailing Address120 W 16th StMountain Grove, MO 65711-1039 · (417) 926-6111

Phone(417) 926-6111

Sole ProprietorNo

Enumeration DateMarch 13, 2019

Last NPPES UpdateJanuary 18, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 18, 2022

✔ NPI 1407315195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MO · 2019007175

120 W 16TH ST, Mountain Grove, MO 65711

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Johnson Np 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.

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

70 services67 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

12 services12 patients

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.

New Patient

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers11 claims11 services$108.81 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 14

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

ASHLYNN VONDERHEIDE FNP-C

Nurse Practitioner (Family)