MRS. MARIE THERESE JOHNSON M.S.N., F.N.P.-BC
NPI 1639226483
Nurse Practitioner - Family in Phoenix, AZ

Q: What is Marie Johnson's NPI number?

The NPI number for Marie Johnson is 1639226483. It was assigned to this individual provider in the NPPES registry on January 4, 2007. The provider is also known as Mrs. Marie Therese Demello.

Q: What is Marie Johnson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marie Johnson was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 04, 2007PECOS Enrolled

3536 W GLENDALE AVE, PHOENIX, AZ 85051(480) 618-0177(620) 371-2243 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 22, 2026, Jul 22, 2022, Jan 11, 2017 (3 updates tracked since 2017).

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About Mrs. Marie Therese Johnson M.s.n., F.n.p.-bc NPPES

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

MRS. MARIE THERESE JOHNSON M.S.N., F.N.P.-BC (NPI 1639226483) is an individual family provider in Phoenix, Arizona, licensed in Arizona (AP8806) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1639226483

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. MARIE THERESE JOHNSONCredential: M.S.N., F.N.P.-BC

Location Address3536 W GLENDALE AVEPhoenix, AZ 85051-8395

Mailing AddressPo Box 746093Atlanta, GA 30374-6093 · (773) 352-1515 · Fax (321) 929-0373

Phone(480) 618-0177

Fax(620) 371-2243

Sole ProprietorNo

Enumeration DateJanuary 4, 2007

Last NPPES UpdateJuly 22, 20263 updates tracked since enumeration

NPPES CertifiedJuly 22, 2026

✔ NPI 1639226483 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 · AP8806

3536 W GLENDALE AVE, Phoenix, AZ 85051

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Other Names 1

Former Name (1)Mrs. Marie Therese Demello

Secondary Practice Locations 4

Location 11661 E Camelback Rd Ste 270Phoenix, AZ 85016-3922 · Phone (888) 777-1945 · Fax (805) 413-9099

Location 218555 N 79th Ave, Suite D101Glendale, AZ 85308-8370 · Phone (480) 245-6169

Location 314668 N Del Webb BlvdSun City, AZ 85351-2137 · Phone (888) 771-1945 · Fax (805) 413-9099

Location 41910 S Stapley Dr Ste 130Mesa, AZ 85204-6677 · Phone (888) 777-1945 · Fax (805) 413-9099

Other Identifiers 1

Medicaid3434247MI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Marie Therese Johnson M.s.n., F.n.p.-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

Medicare enrollment records show Marie Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Infusion Management, Inc.

22 mi

Infusion Therapy

1910 SOUTH STAPLEY DR STE 130
Mesa, AZ 85204

Reassigned Medicare billing, Arizona enrollment
11 clinicians in this Medicare group

NPI 1447903059 (805) 719-3700

Oak Street Health Physicians Group Of Arizona PLLC

35 mi

Primary Care

183 W APACHE TRL
Apache Junction, AZ 85120

Reassigned Medicare billing, Arizona enrollment
93 clinicians in this Medicare group

NPI 1063083590 (480) 618-0945

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85051 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 5

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

EIEL E RAGSDALE MD

Family Medicine