Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CHARLENNE JOHNSON FNP-C
NPI 1639016884
Nurse Practitioner in Mena, AR

Active since May 04, 2026PECOS Enrolled
215 HOMEWOOD CIR, MENA, AR 71953(479) 394-3511 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charlenne Johnson Fnp-c NPPES

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

CHARLENNE JOHNSON FNP-C (NPI 1639016884) is an individual nurse practitioner in Mena, Arkansas, licensed in Arkansas (236958) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1639016884
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCHARLENNE JOHNSONCredential: FNP-C
Location Address215 HOMEWOOD CIRMena, AR 71953-2524
Mailing Address215 Homewood CirMena, AR 71953-2524 · (479) 394-3511
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 4, 2026
Last NPPES UpdateJuly 28, 2026
NPPES CertifiedJuly 28, 2026
NPI 1639016884 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 AR · 236958
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.
215 HOMEWOOD CIR, Mena, AR 71953

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Charlenne Johnson Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032680004
PECOS Enrollment IDI20260610001771
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 71953 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

Skilled Nursing Facility
215 HOMEWOOD CIR
MENA, AR 71953

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 Charlenne Johnson's NPI number?

The NPI number for Charlenne Johnson is 1639016884. It was assigned to this individual provider in the NPPES registry on May 4, 2026.

Where is Charlenne Johnson located?

Charlenne Johnson practices at 215 Homewood Cir, Mena, AR 71953. The listed phone number is (479) 394-3511.

What is Charlenne Johnson's specialty?

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

Is Charlenne Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Charlenne Johnson was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.