OLIVIA ROSE JOHNSON
NPI 1629820816
Nurse Practitioner - Family in Rochester, NY

Active since April 02, 2024PECOS EnrolledAccepts Medicare Assignment
125 LATTIMORE RD STE 258, ROCHESTER, NY 14620(585) 442-8020 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 9, 2024, Apr 2, 2024 (2 updates tracked since 2024).

About Olivia Rose Johnson NPPES

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

OLIVIA ROSE JOHNSON (NPI 1629820816) is an individual family provider in Rochester, New York, licensed in New York (354978) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, is affiliated with F F Thompson Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1629820816
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameOLIVIA ROSE JOHNSON
Location Address125 LATTIMORE RD STE 258Rochester, NY 14620-4155
Mailing Address7276 Gillis RdVictor, NY 14564-9541 · (716) 785-0659
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 2, 2024
Last NPPES UpdateAugust 9, 20242 updates tracked since enumeration
NPPES CertifiedAugust 8, 2024
NPI 1629820816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 354978
Also ListedRegistered NurseTaxonomy 163W00000X · License 744904 (NY)
125 LATTIMORE RD STE 258, Rochester, NY 14620

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

Olivia Rose 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 ID3375082878
PECOS Enrollment IDI20240828003262
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.

Hospital Affiliations CMS Care Compare 4

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

F F Thompson Hospital

Acute Care Hospitals · Canandaigua, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330074
Location350 Parrish StreetCanandaigua, NY 14424 · Ontario County
Emergency services Birthing friendly

St James Mercy Hospital

Acute Care Hospitals · Hornell, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330151
Location7329 Seneca Road NorthHornell, NY 14843 · Steuben County
Emergency services

Highland Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330164
Location1000 South AvenueRochester, NY 14617 · Monroe County
Emergency services Birthing friendly

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14620 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 12

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

Obstetrics & Gynecology
125 LATTIMORE RD STE 258
ROCHESTER, NY 14620
Nurse Practitioner (Women's Health)
125 LATTIMORE RD STE 258
ROCHESTER, NY 14620
Nurse Practitioner (Family)
125 LATTIMORE RD STE 258
ROCHESTER, NY 14620
Nurse Practitioner (Family)
125 LATTIMORE RD STE 258
ROCHESTER, NY 14620
Nurse Practitioner
125 LATTIMORE RD STE 258
ROCHESTER, NY 14620
Obstetrics & Gynecology (Gynecologic Oncology)
125 LATTIMORE RD STE 258
ROCHESTER, NY 14620
Physician Assistant (Surgical)
125 LATTIMORE RD STE 258
ROCHESTER, NY 14620
Nurse Practitioner (Family)
125 LATTIMORE RD STE 258
ROCHESTER, NY 14620

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 Olivia Johnson's NPI number?

The NPI number for Olivia Johnson is 1629820816. It was assigned to this individual provider in the NPPES registry on April 2, 2024.

Where is Olivia Johnson located?

Olivia Johnson practices at 125 Lattimore Rd Ste 258, Rochester, NY 14620. The listed phone number is (585) 442-8020.

What is Olivia Johnson's specialty?

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

Is Olivia Johnson enrolled in Medicare?

Yes. Olivia 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.

Is Olivia Johnson affiliated with any hospitals?

According to CMS data, Olivia Johnson is affiliated with F F Thompson Hospital, St James Mercy Hospital, Highland Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Olivia Johnson was last updated on August 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.