DR. NICHOLE STACHEWICZ JOHNSON DMD
NPI 1457515355
Dentist - General Practice in Erie, PA

Active since July 10, 2008PECOS Enrolled
4206 E LAKE RD, ERIE, PA 16511(814) 899-0602(814) 898-0990 Get Directions Write a Review

NPPES record last updated: July 10, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Nichole Stachewicz Johnson Dmd NPPES

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

DR. NICHOLE STACHEWICZ JOHNSON DMD (NPI 1457515355) is an individual general practice provider in Erie, Pennsylvania, licensed in Pennsylvania (DSO37468) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457515355
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. NICHOLE STACHEWICZ JOHNSONCredential: DMD
Location Address4206 E LAKE RDErie, PA 16511-1357
Mailing Address4206 E Lake RdErie, PA 16511-1357 · (814) 899-0602 · Fax (814) 898-0990
Fax(814) 898-0990
Sole ProprietorNo
Enumeration DateJuly 10, 2008
NPI 1457515355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in PA · DSO37468
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4206 E LAKE RD, Erie, PA 16511

Accepted 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)

Dr. Nichole Stachewicz Johnson Dmd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16511 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Nichole Johnson's NPI number?

The NPI number for Nichole Johnson is 1457515355. It was assigned to this individual provider in the NPPES registry on July 10, 2008.

Where is Nichole Johnson located?

Nichole Johnson practices at 4206 E Lake Rd, Erie, PA 16511. The listed phone number is (814) 899-0602.

What is Nichole Johnson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Nichole Johnson enrolled in Medicare?

Yes. Nichole Johnson is registered in the Medicare PECOS enrollment system.

What insurance does Nichole Johnson accept?

Health plans from Florida Combined Life list Nichole Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nichole Johnson was last updated on July 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.