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AXELINE JANICKE MAISONET JOHNSON MD
NPI 1649776899
Psychiatry & Neurology - Psychiatry in Riverside, CA

Active since April 04, 2018PECOS Enrolled
4371 LATHAM ST STE 200, RIVERSIDE, CA 92501(833) 867-4642 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 29, 2025, Dec 19, 2025, Nov 17, 2022 and 2 more (5 updates tracked since 2022).

About Axeline Janicke Maisonet Johnson Md NPPES

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

AXELINE JANICKE MAISONET JOHNSON MD (NPI 1649776899) is an individual psychiatry provider in Riverside, California, licensed in California (A179054) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of University Of California, Geffen School Of Medicine (2018).

NPPES Registry Identity

NPI1649776899
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameAXELINE JANICKE MAISONET JOHNSONCredential: MD
Location Address4371 LATHAM ST STE 200Riverside, CA 92501-1731
Mailing Address415 N Camden Drive, Ste 111 #724Beverly Hills, CA 90210 · (833) 867-4642 · Fax (267) 367-5763
Phone(833) 867-4642
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2018
Enumeration DateApril 4, 2018
Last NPPES UpdateDecember 29, 20255 updates tracked since enumeration
NPPES CertifiedDecember 29, 2025
✔ NPI 1649776899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in CA · A179054✔ Licensed in TX · W2736✔ Licensed in PA · MD470729
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4371 LATHAM ST STE 200, Riverside, CA 92501
Open in Google Maps ↗

Secondary Practice Location 1

Location 1929 Gessner Rd Ste 2600Houston, TX 77024-2593 · Phone (713) 222-2273

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Axeline Janicke Maisonet Johnson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668855495
PECOS Enrollment IDI20251211001731
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

4

Medicare enrollment records show Axeline Johnson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neighborhood Healthcare
63 mi
Federally Qualified Health Center (FQHC)
460 N ELM ST
Escondido, CA 92025
  • Reassigned Medicare billing, California enrollment
  • 332 clinicians in this Medicare group
NPI 1598703647 (760) 520-8100
County Of Imperial
134 mi
Mental Health (Including Community Mental Health Center)
202 N 8TH ST
El Centro, CA 92243
  • Reassigned Medicare billing, California enrollment
  • 43 clinicians in this Medicare group
NPI 1225258841 (760) 482-4000
Memorial Hermann Medical Group
1,296 mi
Family Medicine
6631 W CROSS CREEK BEND LN STE 200
Fulshear, TX 77441
  • Reassigned Medicare billing, Texas enrollment
  • 1,235 clinicians in this Medicare group
NPI 1003985102 (832) 658-5750
Metropolitan Hospital
1,810 mi
Anatomic Pathology & Clinical Pathology
5900 BYRON CENTER AVE SW
Wyoming, MI 49519
  • Reassigned Medicare billing, Michigan enrollment
  • 685 clinicians in this Medicare group
NPI 1336182542 (616) 252-7200

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 92501 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
$179.42 typical visit price
range $59.60 – $179.42
Typical copayment $44.85 (range $14.90 – $44.85)
Most-billed visit code 99205
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Axeline Johnson's NPI number?

The NPI number for Axeline Johnson is 1649776899. It was assigned to this individual provider in the NPPES registry on April 4, 2018.

Where is Axeline Johnson located?

Axeline Johnson practices at 4371 Latham St Ste 200, Riverside, CA 92501. The listed phone number is (833) 867-4642.

What is Axeline Johnson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Axeline Johnson enrolled in Medicare?

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

Which organizations bill Medicare for Axeline Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Axeline Johnson reassigns Medicare benefits to 4 organizations: Neighborhood Healthcare (Escondido, CA), County Of Imperial (El Centro, CA), Memorial Hermann Medical Group (Fulshear, TX) and Metropolitan Hospital (Wyoming, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Axeline Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Axeline Johnson accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and Priority Health list Axeline Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Axeline Johnson was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.