FA-TIA JOHNSON R.N.
NPI 1477984326
Nurse Practitioner in Milwaukee, WI

Active since December 03, 2013PECOS Enrolled
5566 N 37TH ST, MILWAUKEE, WI 53209(414) 324-8479 Get Directions Write a Review

NPPES record last updated: October 17, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Fa-tia Johnson R.n. NPPES

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

FA-TIA JOHNSON R.N. (NPI 1477984326) is an individual nurse practitioner in Milwaukee, Wisconsin, licensed in New Mexico (CNP-03357) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477984326
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameFA-TIA JOHNSONCredential: R.N.
Location Address5566 N 37TH STMilwaukee, WI 53209-4734
Mailing Address5566 N 37th StMilwaukee, WI 53209-4734 · (414) 324-8479
Sole ProprietorYes
Enumeration DateDecember 3, 2013
Last NPPES UpdateOctober 17, 2017
✔ NPI 1477984326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NM · CNP-03357
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 198325-30 (WI)
5566 N 37TH ST, Milwaukee, WI 53209

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fa-tia Johnson R.n. 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.

Medicare Billing Reassignments

2

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

Anatomic Pathology
3601 4TH ST STE 1A115
Lubbock, TX 79430
  • Reassigned Medicare billing, Texas enrollment
  • 685 clinicians in this Medicare group
Critical Access
301 E MIEL DE LUNA AVE
Tucumcari, NM 88401
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,331 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53209 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
9 suppliers92 claims92 services$31.59 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
9 suppliers95 claims95 services$72.46 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
8 suppliers113 claims247 services$28.08 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
7 suppliers24 claims117 services$16.81 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers31 claims31 services$52.26 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
9 suppliers68 claims68 services$15.63 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Fa-tia Johnson's NPI number?

The NPI number for Fa-tia Johnson is 1477984326. It was assigned to this individual provider in the NPPES registry on December 3, 2013.

Where is Fa-tia Johnson located?

Fa-tia Johnson practices at 5566 N 37th St, Milwaukee, WI 53209. The listed phone number is (414) 324-8479.

What is Fa-tia Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Fa-tia Johnson enrolled in Medicare?

Yes. Fa-tia Johnson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Fa-tia Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fa-tia Johnson reassigns Medicare benefits to 2 organizations: Texas Tech University Health Sciences Center Lubbock (Lubbock, TX) and Presbyterian Healthcare Services (Tucumcari, NM). 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 Fa-tia 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 Fa-tia Johnson was last updated on October 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.