STEPHEN D JOHNSON FNP
NPI 1598068892
Nurse Practitioner - Family in Jackson, MS

Active since December 09, 2010PECOS EnrolledAccepts Medicare Assignment
969 LAKELAND DR, JACKSON, MS 39216(601) 200-2000 Get Directions Write a Review

NPPES record last updated: April 19, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stephen D Johnson Fnp NPPES

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

STEPHEN D JOHNSON FNP (NPI 1598068892) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (R863721) and active in the NPI registry since December 2010. He is enrolled in Medicare PECOS, is affiliated with Merit Health River Region, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1598068892
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSTEPHEN D JOHNSONCredential: FNP
Location Address969 LAKELAND DRJackson, MS 39216-4606
Mailing Address813 Wedgewood CtBrandon, MS 39047-6366 · (601) 665-4355
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateDecember 9, 2010
Last NPPES UpdateApril 19, 2012
✔ NPI 1598068892 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 MS · R863721
969 LAKELAND DR, Jackson, MS 39216

Other Identifiers 2

Medicaid02335251MS
Medicare PIN302I501768MS

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephen D Johnson Fnp 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 ID42481871
PECOS Enrollment IDI20110927000442
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 Reassignment

Medicare enrollment records show Stephen Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Radiation Oncology
970 LAKELAND DR, SUITE 34
Jackson, MS 39216
  • Reassigned Medicare billing, Mississippi enrollment
  • 7 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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Merit Health River Region

Acute Care Hospitals · Vicksburg, MS
2/5 CMS rating
OwnershipProprietary
CMS Certification Number250031
Location2100 Hwy 61 NVicksburg, MS 39183 · Warren County
Emergency services Birthing friendly

St Dominic-Jackson Memorial Hospital

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number250048
Location969 Lakeland DrJackson, MS 39216 · Hinds County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 20

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

Internal Medicine
969 LAKELAND DR
JACKSON, MS 39216
Pharmacy (Institutional Pharmacy)
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner
969 LAKELAND DR
JACKSON, MS 39216
Nurse Anesthetist, Certified Registered
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Emergency Medicine
969 LAKELAND DR
JACKSON, MS 39216

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 Stephen Johnson's NPI number?

The NPI number for Stephen Johnson is 1598068892. It was assigned to this individual provider in the NPPES registry on December 9, 2010.

Where is Stephen Johnson located?

Stephen Johnson practices at 969 Lakeland Dr, Jackson, MS 39216. The listed phone number is (601) 200-2000.

What is Stephen Johnson's specialty?

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

Is Stephen Johnson enrolled in Medicare?

Yes. Stephen 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.

Which organization bills Medicare for Stephen Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Johnson reassigns Medicare benefits to Radiation Oncology Of Mississippi PA (Jackson, MS). The 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 Stephen Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephen Johnson accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Stephen 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.

Is Stephen Johnson affiliated with any hospitals?

According to CMS data, Stephen Johnson is affiliated with Merit Health River Region and St Dominic-Jackson Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Johnson was last updated on April 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.