COURTNEY ANN JOHNSON PA
NPI 1699253336
Physician Assistant in Fort Worth, TX

Active since August 03, 2018PECOS EnrolledAccepts Medicare Assignment
82.14/100
CMS Quality Rating
6100 LAKE WORTH BLVD, FORT WORTH, TX 76135(817) 237-3321 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 15, 2023, Feb 27, 2020, Aug 8, 2019 and 2 more (5 updates tracked since 2018).

About Courtney Ann Johnson Pa NPPES

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

COURTNEY ANN JOHNSON PA (NPI 1699253336) is an individual physician assistant in Fort Worth, Texas, licensed in Texas (PA12470) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hospital Azle, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1699253336
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCOURTNEY ANN JOHNSONCredential: PA
Location Address6100 LAKE WORTH BLVDFort Worth, TX 76135-3703
Mailing Address7410 Sharon Lee DrArlington, TX 76001-7050 · (817) 372-2844
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 3, 2018
Last NPPES UpdateOctober 24, 20245 updates tracked since enumeration
NPPES CertifiedOctober 24, 2024
NPI 1699253336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TX · PA12470
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
6100 LAKE WORTH BLVD, Fort Worth, TX 76135

Other Names 1

Former Name (1)Courtney Ann Mutchler Pa

Secondary Practice Locations 4

Location 17410 Sharon Lee DrArlington, TX 76001-7050 · Phone (817) 372-2844
Location 23301 Matlock RdArlington, TX 76015-2908 · Phone (620) 068-2509
Location 3900 8th AveFt Worth, TX 76104-3902 · Phone (817) 877-5292
Location 45203 Lake Ridge PkwyGrand Prairie, TX 75052-3006 · Phone (682) 218-5400

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 and accepts Medicare assignment

Courtney Ann Johnson Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810238664
PECOS Enrollment IDI20190404002543
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
124 services111 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
80 services79 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
74 services74 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Texas Health Harris Methodist Hospital Azle

Acute Care Hospitals · Azle, TX
OwnershipVoluntary non-profit - Church
CMS Certification Number450419
Location108 Denver TrailAzle, TX 76020 · Tarrant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76135 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.09
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

Family Medicine
6100 LAKE WORTH BLVD
FORT WORTH, TX 76135
Physician Assistant
6100 LAKE WORTH BLVD
FORT WORTH, TX 76135
Physician Assistant
6100 LAKE WORTH BLVD
FORT WORTH, TX 76135
Physician Assistant
6100 LAKE WORTH BLVD
FORT WORTH, TX 76135
Physician Assistant
6100 LAKE WORTH BLVD
FORT WORTH, TX 76135
Family Medicine
6100 LAKE WORTH BLVD
FORT WORTH, TX 76135
Family Medicine
6100 LAKE WORTH BLVD
FORT WORTH, TX 76135
Family Medicine
6100 LAKE WORTH BLVD
FORT WORTH, TX 76135

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 Courtney Johnson's NPI number?

The NPI number for Courtney Johnson is 1699253336. It was assigned to this individual provider in the NPPES registry on August 3, 2018. The provider is also known as Courtney Ann Mutchler PA.

Where is Courtney Johnson located?

Courtney Johnson practices at 6100 Lake Worth Blvd, Fort Worth, TX 76135. The listed phone number is (817) 237-3321.

What is Courtney Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Courtney Johnson enrolled in Medicare?

Yes. Courtney Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Courtney Johnson accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and Oscar Insurance Company list Courtney 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.

Is Courtney Johnson affiliated with any hospitals?

According to CMS data, Courtney Johnson is affiliated with Texas Health Harris Methodist Hospital Azle.

When was this NPI record last updated?

The NPPES record for Courtney Johnson was last updated on October 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.