AMANDA BRODIE JOHNSON FNP-BC
NPI 1629922398
Nurse Practitioner - Family in Yuma, AZ

Active since February 20, 2026PECOS Enrolled
11463 S FOOTHILLS BLVD, YUMA, AZ 85367(928) 955-0189 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Amanda Brodie Johnson Fnp-bc NPPES

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

AMANDA BRODIE JOHNSON FNP-BC (NPI 1629922398) is an individual family provider in Yuma, Arizona, licensed in Arizona (RN140175) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1629922398
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMANDA BRODIE JOHNSONCredential: FNP-BC
Location Address11463 S FOOTHILLS BLVDYuma, AZ 85367-5701
Mailing Address3629 S Plowman DrYuma, AZ 85365-6721
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 20, 2026
NPPES CertifiedFebruary 20, 2026
NPI 1629922398 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 AZ · RN140175
11463 S FOOTHILLS BLVD, Yuma, AZ 85367

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Amanda Brodie Johnson Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446725493
PECOS Enrollment IDI20260408000842
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 85367 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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

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

Internal Medicine (Nephrology)
11463 S FOOTHILLS BLVD
YUMA, AZ 85367

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 Amanda Johnson's NPI number?

The NPI number for Amanda Johnson is 1629922398. It was assigned to this individual provider in the NPPES registry on February 20, 2026.

Where is Amanda Johnson located?

Amanda Johnson practices at 11463 S Foothills Blvd, Yuma, AZ 85367. The listed phone number is (928) 955-0189.

What is Amanda Johnson's specialty?

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

Is Amanda Johnson enrolled in Medicare?

Yes. Amanda Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Johnson was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.