Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MARYELLEN JOHNSON FNP
NPI 1710860432
Nurse Practitioner - Family in Greeneville, TN

Active since July 29, 2025PECOS Enrolled
3225 EAST AJ HWY, GREENEVILLE, TN 37745(423) 922-9224(423) 525-5708 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maryellen Johnson Fnp NPPES

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

MARYELLEN JOHNSON FNP (NPI 1710860432) is an individual family provider in Greeneville, Tennessee, licensed in Tennessee (39345) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, is affiliated with Greeneville Community Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1710860432
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARYELLEN JOHNSONCredential: FNP
Location Address3225 EAST AJ HWYGreeneville, TN 37745-4066
Mailing Address3225 East Aj HwyGreeneville, TN 37745-4066 · (423) 922-9224 · Fax (423) 525-5708
Fax(423) 525-5708
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 29, 2025
Last NPPES UpdateJuly 13, 2026
NPPES CertifiedJuly 13, 2026
NPI 1710860432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TN · 39345
3225 EAST AJ HWY, Greeneville, TN 37745

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

Maryellen Johnson Fnp 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 ID9931690971
PECOS Enrollment IDI20251118000943
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.

Hospital Affiliations CMS Care Compare

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

Greeneville Community Hospital

Acute Care Hospitals · Greeneville, TN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440050
Location1420 Tusculum BoulevardGreeneville, TN 37745 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37745 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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 Maryellen Johnson's NPI number?

The NPI number for Maryellen Johnson is 1710860432. It was assigned to this individual provider in the NPPES registry on July 29, 2025.

Where is Maryellen Johnson located?

Maryellen Johnson practices at 3225 East Aj Hwy, Greeneville, TN 37745. The listed phone number is (423) 922-9224.

What is Maryellen Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Maryellen Johnson enrolled in Medicare?

Yes. Maryellen 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.

Is Maryellen Johnson affiliated with any hospitals?

According to CMS data, Maryellen Johnson is affiliated with Greeneville Community Hospital.

When was this NPI record last updated?

The NPPES record for Maryellen Johnson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.