JOHANNA T MCDERMOTT NURSE PRACTITIONER
NPI 1699101188
Nurse Practitioner - Pediatrics in Auburn, MA

Active since September 17, 2013PECOS Enrolled
4 BROTHERTON WAY, AUBURN, MA 01501(508) 832-5917(508) 832-5751 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 16, 2020, Dec 14, 2018 (2 updates tracked since 2018).

About Johanna T Mcdermott Nurse Practitioner NPPES

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

JOHANNA T MCDERMOTT NURSE PRACTITIONER (NPI 1699101188) is an individual pediatrics provider in Auburn, Massachusetts, licensed in Massachusetts (RN254292) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Worcester.

NPPES Registry Identity

NPI1699101188
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJOHANNA T MCDERMOTTCredential: NURSE PRACTITIONER
Location Address4 BROTHERTON WAYAuburn, MA 01501-2684
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977
Fax(508) 832-5751
Sole ProprietorYes
Enumeration DateSeptember 17, 2013
Last NPPES UpdateFebruary 25, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2026
NPI 1699101188 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
License Licensed in MA · RN254292
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN254292 (MA)
4 BROTHERTON WAY, Auburn, MA 01501

Secondary Practice Location 1

Location 1119 Belmont StWorcester, MA 01605-2903 · Phone (774) 442-5545 · Fax (774) 443-7042

Accepted 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)

Johanna T Mcdermott Nurse Practitioner 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 01501 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Family Medicine
4 BROTHERTON WAY
AUBURN, MA 01501
Nurse Practitioner (Family)
4 BROTHERTON WAY
AUBURN, MA 01501
Nurse Practitioner (Psychiatric/Mental Health)
4 BROTHERTON WAY
AUBURN, MA 01501
Physician Assistant
4 BROTHERTON WAY
AUBURN, MA 01501
Nurse Practitioner (Family)
4 BROTHERTON WAY
AUBURN, MA 01501
Physician Assistant
4 BROTHERTON WAY
AUBURN, MA 01501
Physician Assistant
4 BROTHERTON WAY
AUBURN, MA 01501
Counselor
4 BROTHERTON WAY
AUBURN, MA 01501

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 Johanna Mcdermott's NPI number?

The NPI number for Johanna Mcdermott is 1699101188. It was assigned to this individual provider in the NPPES registry on September 17, 2013.

Where is Johanna Mcdermott located?

Johanna Mcdermott practices at 4 Brotherton Way, Auburn, MA 01501. The listed phone number is (508) 832-5917.

What is Johanna Mcdermott's specialty?

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

Is Johanna Mcdermott enrolled in Medicare?

Yes. Johanna Mcdermott is registered in the Medicare PECOS enrollment system.

What insurance does Johanna Mcdermott accept?

Health plans from Anthem Blue Cross and Blue Shield list Johanna Mcdermott 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 Johanna Mcdermott was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.