ROBERTA JOHNSON
NPI 1558070466
Nurse Practitioner in Worcester, MA

Active since November 18, 2022PECOS EnrolledAccepts Medicare Assignment
416 BELMONT ST, WORCESTER, MA 01604(508) 756-1808 Get Directions Write a Review

NPPES record last updated: November 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Roberta Johnson NPPES

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

ROBERTA JOHNSON (NPI 1558070466) is an individual nurse practitioner in Worcester, Massachusetts, licensed in Massachusetts (RN278413) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1558070466
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameROBERTA JOHNSON
Location Address416 BELMONT STWorcester, MA 01604-1086
Mailing Address1 Johnathan PassDudley, MA 01571-6068 · (508) 341-9166
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 18, 2022
NPPES CertifiedNovember 17, 2022
NPI 1558070466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MA · RN278413
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.
416 BELMONT ST, Worcester, MA 01604

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 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 ID6507237096
PECOS Enrollment IDI20230119002956
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
468 services170 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
239 services123 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
185 services54 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
179 services67 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
34 services34 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
29 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01604 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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 9

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

Nurse Practitioner (Acute Care)
416 BELMONT ST
WORCESTER, MA 01604
Internal Medicine
416 BELMONT ST
WORCESTER, MA 01604
Nurse Practitioner (Acute Care)
416 BELMONT ST
WORCESTER, MA 01604
Nurse Practitioner (Adult Health)
416 BELMONT ST
WORCESTER, MA 01604
Nurse Practitioner (Psychiatric/Mental Health)
416 BELMONT ST
WORCESTER, MA 01604
Nurse Practitioner (Primary Care)
416 BELMONT ST
WORCESTER, MA 01604
Nurse Practitioner
416 BELMONT ST
WORCESTER, MA 01604
Nurse Practitioner (Family)
416 BELMONT ST, WORCESTER INTERNAL MEDICINE
WORCESTER, MA 01604

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 1558070466. It was assigned to this individual provider in the NPPES registry on November 18, 2022.

Where is Roberta Johnson located?

Roberta Johnson practices at 416 Belmont St, Worcester, MA 01604. The listed phone number is (508) 756-1808.

What is Roberta Johnson's specialty?

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

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 November 18, 2022. 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.