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NICOLE MARIE JOHNSON
NPI 1710670013
Nurse Practitioner in Panama City, FL

Active since June 01, 2023PECOS Enrolled
2614 JENKS AVE, PANAMA CITY, FL 32405(850) 215-3000 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Nicole Marie Johnson NPPES

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

NICOLE MARIE JOHNSON (NPI 1710670013) is an individual nurse practitioner in Panama City, Florida, licensed in Florida (APRN11025952) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710670013
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNICOLE MARIE JOHNSON
Location Address2614 JENKS AVEPanama City, FL 32405-4311
Mailing Address2614 Jenks AvePanama City, FL 32405-4311
Phone(850) 215-3000
Sole ProprietorNo
Enumeration DateJune 1, 2023
NPPES CertifiedJune 1, 2023
✔ NPI 1710670013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · APRN11025952
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2614 JENKS AVE, Panama City, FL 32405
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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)

Nicole Marie Johnson 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 32405 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 9

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

FL NEURO PAIN AND SPINE CENTER, .P.A.
Clinic/Center (Health Service)
2614 JENKS AVE
PANAMA CITY, FL 32405
Bay County (850) 215-3000
DR. SYED KHALID MAHMOOD M.D
Internal Medicine (Hematology & Oncology)
2614 JENKS AVE
PANAMA CITY, FL 32405
Bay County (850) 769-2996
FL NEURO PAIN AND SPINE CENTER, .P.A.
Clinic/Center (Health Service)
2614 JENKS AVE
PANAMA CITY, FL 32405
Bay County (850) 215-3000
DR. CORY ANN IMHOF D.C.
Chiropractor
2614 JENKS AVE
PANAMA CITY, FL 32405
Bay County (850) 360-1387
SYED K MAHMOOD P A
Internal Medicine (Hematology & Oncology)
2614 JENKS AVE
PANAMA CITY, FL 32405
Bay County (850) 769-2996
BRYAN PRUESS ARNP
Nurse Practitioner (Family)
2614 JENKS AVE
PANAMA CITY, FL 32405
Bay County (850) 215-3000
DR. JOHN J O'CONNELL III DO
Family Medicine
2614 JENKS AVE
PANAMA CITY, FL 32405
Bay County (850) 215-3000
DR. WESLEY JOHNSON
Chiropractor
2614 JENKS AVE
PANAMA CITY, FL 32405
Bay County (850) 215-3000

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 Nicole Johnson's NPI number?

The NPI number for Nicole Johnson is 1710670013. It was assigned to this individual provider in the NPPES registry on June 1, 2023.

Where is Nicole Johnson located?

Nicole Johnson practices at 2614 Jenks Ave, Panama City, FL 32405. The listed phone number is (850) 215-3000.

What is Nicole Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nicole Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nicole Johnson was last updated on June 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.