ALEXANDRA L JOHNSON
NPI 1720635402
Nurse Practitioner in Omaha, NE

Active since August 19, 2019PECOS EnrolledAccepts Medicare Assignment
4350 DEWEY AVE, OMAHA, NE 68105(402) 552-2000 Get Directions Write a Review

NPPES record last updated: March 24, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 24, 2020, Aug 19, 2019 (2 updates tracked since 2019).

About Alexandra L Johnson NPPES

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

ALEXANDRA L JOHNSON (NPI 1720635402) is an individual nurse practitioner in Omaha, Nebraska, licensed in Nebraska (112799) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1720635402
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameALEXANDRA L JOHNSON
Location Address4350 DEWEY AVEOmaha, NE 68105-1017
Mailing Address988102 Nebraska Medical CtrOmaha, NE 68198-8102
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 19, 2019
Last NPPES UpdateMarch 24, 20202 updates tracked since enumeration
NPPES CertifiedMarch 24, 2020
NPI 1720635402 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 NE · 112799
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.

4350 DEWEY AVE, Omaha, NE 68105

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

Alexandra L Johnson 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 ID2961832845
PECOS Enrollment IDI20200416000861
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 68105 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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 19

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

Psychologist (Clinical)
4350 DEWEY AVE
OMAHA, NE 68105
Nurse Practitioner (Family)
4350 DEWEY AVE
OMAHA, NE 68105
Nurse Practitioner (Acute Care)
4350 DEWEY AVE
OMAHA, NE 68105
Nurse Practitioner (Acute Care)
4350 DEWEY AVE
OMAHA, NE 68105
Student in an Organized Health Care Education/Training Program
4350 DEWEY AVE
OMAHA, NE 68105
Physical Therapist
4350 DEWEY AVE
OMAHA, NE 68105
Nurse Anesthetist, Certified Registered
4350 DEWEY AVE
OMAHA, NE 68105
Registered Nurse (Neuroscience)
4350 DEWEY AVE
OMAHA, NE 68105

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 Alexandra Johnson's NPI number?

The NPI number for Alexandra Johnson is 1720635402. It was assigned to this individual provider in the NPPES registry on August 19, 2019.

Where is Alexandra Johnson located?

Alexandra Johnson practices at 4350 Dewey Ave, Omaha, NE 68105. The listed phone number is (402) 552-2000.

What is Alexandra Johnson's specialty?

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

Is Alexandra Johnson enrolled in Medicare?

Yes. Alexandra 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 Alexandra Johnson accept?

Health plans from Medica and Oscar Insurance Company list Alexandra 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 Alexandra Johnson was last updated on March 24, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.