MR. DEMETROUS JOHNSTON PMHNP-BC
NPI 1407460413
Nurse Practitioner - Psychiatric/Mental Health in Chesapeake, VA

Q: What is Demetrous Johnston's NPI number?

The NPI number for Demetrous Johnston is 1407460413. It was assigned to this individual provider in the NPPES registry on September 7, 2020.

Q: What is Demetrous Johnston's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since September 07, 2020PECOS EnrolledAccepts Medicare Assignment

809 KENT PL, CHESAPEAKE, VA 23320(757) 436-0605(833) 449-5172 Get Directions Write a Review

NPPES record last updated: March 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 14, 2023, Sep 7, 2020 (2 updates tracked since 2020).

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About Mr. Demetrous Johnston Pmhnp-bc NPPES

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

MR. DEMETROUS JOHNSTON PMHNP-BC (NPI 1407460413) is an individual psychiatric/mental health provider in Chesapeake, Virginia, licensed in Virginia (0024180054) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1407460413

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. DEMETROUS JOHNSTONCredential: PMHNP-BC

Location Address809 KENT PLChesapeake, VA 23320-0768

Mailing Address1242 Corkwood CirChesapeake, VA 23320-5107 · (757) 214-7481

Phone(757) 436-0605

Fax(833) 449-5172

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateSeptember 7, 2020

Last NPPES UpdateMarch 24, 20242 updates tracked since enumeration

NPPES CertifiedMarch 24, 2024

✔ NPI 1407460413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in VA · 0024180054

809 KENT PL, Chesapeake, VA 23320

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

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

Mr. Demetrous Johnston 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.

PECOS PAC ID4082026125

PECOS Enrollment IDI20201215002067

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.

Medicare Billing Reassignments

Medicare enrollment records show Demetrous Johnston reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optum Behavioral Care Of Virginia, Inc.

Same address

Psychologist

809 KENT PL
Chesapeake, VA 23320

Reassigned Medicare billing, Virginia enrollment
25 clinicians in this Medicare group

NPI 1417720830 (757) 436-0605

City Of Chesapeake

2.0 mi

Community/Behavioral Health

224 GREAT BRIDGE BLVD, CHESAPEAKE COMMUNITY SERVICES BOARD
Chesapeake, VA 23320

Reassigned Medicare billing, Virginia enrollment
60 clinicians in this Medicare group

NPI 1073650099 (757) 547-9334

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23320 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

Other Providers at the Same Location NPPES 13

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

MARCELLA BOWEN PMHNP

Nurse Practitioner (Psychiatric/Mental Health)