MARISSA JOHNSON
NPI 1467145938
Nurse Practitioner - Pediatrics in Vista, CA

Q: What is Marissa Johnson's NPI number?

The NPI number for Marissa Johnson is 1467145938. It was assigned to this individual provider in the NPPES registry on May 31, 2023.

Q: What is Marissa Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Marissa Johnson was last updated on May 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 May 31, 2023PECOS Enrolled

2067 W VISTA WAY STE 250, VISTA, CA 92083(562) 490-9900 Get Directions Write a Review

NPPES record last updated: May 31, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Marissa Johnson NPPES

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

MARISSA JOHNSON (NPI 1467145938) is an individual pediatrics provider in Vista, California, licensed in California (95025351) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467145938

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMARISSA JOHNSON

Location Address2067 W VISTA WAY STE 250Vista, CA 92083-6034

Mailing Address3401 Piazza De Oro Way Unit 2Oceanside, CA 92056-3783 · (515) 868-8281

Phone(562) 490-9900

Sole ProprietorNo

Enumeration DateMay 31, 2023

NPPES CertifiedMay 31, 2023

✔ NPI 1467145938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0200X

License✔ Licensed in CA · 95025351

2067 W VISTA WAY STE 250, Vista, CA 92083

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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)

Marissa Johnson 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 92083 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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 6

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

KERIANNE MCKENZIE

Physician Assistant