MISS ALICE VICTORIA JOHNSON CPNP
NPI 1639520273
Nurse Practitioner - Pediatrics in San Francisco, CA

Q: What is Alice Johnson's NPI number?

The NPI number for Alice Johnson is 1639520273. It was assigned to this individual provider in the NPPES registry on June 24, 2016.

Q: What is Alice Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Alice Johnson was last updated on February 16, 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.

Active since June 24, 2016PECOS Enrolled

1975 4TH ST, SAN FRANCISCO, CA 94143(415) 476-3831 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 1, 2017, Jun 24, 2016 (2 updates tracked since 2016).

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About Miss Alice Victoria Johnson Cpnp NPPES

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

MISS ALICE VICTORIA JOHNSON CPNP (NPI 1639520273) is an individual pediatrics provider in San Francisco, California, licensed in California (95011678) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639520273

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMISS ALICE VICTORIA JOHNSONCredential: CPNP

Location Address1975 4TH STSan Francisco, CA 94143-2351

Mailing Address355 E 88th St Apt 2dNew York, NY 10128-4924 · (248) 470-2065

Phone(415) 476-3831

Sole ProprietorYes

Enumeration DateJune 24, 2016

Last NPPES UpdateFebruary 16, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 16, 2026

✔ NPI 1639520273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

Licenses✔ Licensed in CA · 95011678✔ Licensed in NY · 382724

Also ListedRegistered NurseTaxonomy 163W00000X · License 700935 (NY), 95187800 (CA)

1975 4TH ST, San Francisco, CA 94143

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Alice Victoria Johnson Cpnp 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 94143 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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 20

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

DR. ABBEY CORIN LEA DPT

Physical Therapist