MRS. MARIE THERESE JOHNSON M.S.N., F.N.P.-BC - NPI 1639226483

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 with the weekly NPPES data releases published by CMS.

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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 118555 N 79th Ave, Suite D101Glendale, AZ 85308-8370 · Phone (480) 245-6169

Location 21910 S Stapley Dr Ste 130Mesa, AZ 85204-6677 · Phone (888) 777-1945 · Fax (805) 413-9099

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

Location 41661 E Camelback Rd Ste 270Phoenix, AZ 85016-3922 · Phone (888) 777-1945 · Fax (805) 413-9099

Other Identifiers 1

Medicaid3434247MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

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.

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