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ROBERTA JOHNSON APRN
NPI 1518848977
Nurse Practitioner - Family in Fort Worth, TX

Active since September 10, 2025PECOS EnrolledAccepts Medicare Assignment
4525 HERITAGE TRACE PKWY STE 117, FORT WORTH, TX 76244(817) 267-6290(817) 267-0950 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2025, Sep 10, 2025 (2 updates tracked since 2025).

About Roberta Johnson Aprn NPPES

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

ROBERTA JOHNSON APRN (NPI 1518848977) is an individual family provider in Fort Worth, Texas, licensed in Texas (1056653) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bedford, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1518848977
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameROBERTA JOHNSONCredential: APRN
Location Address4525 HERITAGE TRACE PKWY STE 117Fort Worth, TX 76244-8910
Mailing Address3030 Harwood Rd Ste 100Bedford, TX 76021-3703 · (817) 267-6290 · Fax (817) 267-0950
Phone(817) 267-6290
Fax(817) 267-0950
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 10, 2025
Last NPPES UpdateDecember 5, 20252 updates tracked since enumeration
NPPES CertifiedDecember 5, 2025
✔ NPI 1518848977 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 TX · 1056653
4525 HERITAGE TRACE PKWY STE 117, Fort Worth, TX 76244
Open in Google Maps ↗

Secondary Practice Location 1

Location 13030 Harwood Rd Ste 100Bedford, TX 76021-3703 · Phone (817) 267-6290 · Fax (817) 267-0950

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Roberta Johnson Aprn 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 ID3375031578
PECOS Enrollment IDI20251021000853
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 76244 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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 5

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

DEBORAH A. STAPEL N.P.
Nurse Practitioner
4525 HERITAGE TRACE PKWY STE 117
FORT WORTH, TX 76244
Tarrant County (817) 267-6290
HASSAN ARIF M.D.
Psychiatry & Neurology (Neurology)
4525 HERITAGE TRACE PKWY STE 117
FORT WORTH, TX 76244
Tarrant County (817) 267-6290
NIRAV SHAH M.D., M.P.H
Psychiatry & Neurology (Neurology)
4525 HERITAGE TRACE PKWY STE 117
FORT WORTH, TX 76244
Tarrant County (817) 267-6290
SHARIQUE ASLAM ANSARI M.D., MPH
Psychiatry & Neurology (Neurology)
4525 HERITAGE TRACE PKWY STE 117
FORT WORTH, TX 76244
Tarrant County (817) 267-6290
KINZI LEA SELF APRN, AGACNP-BC
Nurse Practitioner
4525 HERITAGE TRACE PKWY STE 117
FORT WORTH, TX 76244
Tarrant County (817) 267-6290

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 Roberta Johnson's NPI number?

The NPI number for Roberta Johnson is 1518848977. It was assigned to this individual provider in the NPPES registry on September 10, 2025.

Where is Roberta Johnson located?

Roberta Johnson practices at 4525 Heritage Trace Pkwy Ste 117, Fort Worth, TX 76244. The listed phone number is (817) 267-6290.

What is Roberta Johnson's specialty?

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

Is Roberta Johnson enrolled in Medicare?

Yes. Roberta Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Roberta Johnson was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.