MR. JON DAVID JOHNSON ARNP
NPI 1730179698
Nurse Practitioner - Family in Lake Butler, FL

Q: What is Jon Johnson's NPI number?

The NPI number for Jon Johnson is 1730179698. It was assigned to this individual provider in the NPPES registry on October 24, 2005.

Q: What is Jon Johnson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jon Johnson was last updated on October 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since October 24, 2005PECOS Enrolled

495 E MAIN ST, LAKE BUTLER, FL 32054(386) 496-3211(386) 496-1599 Get Directions Write a Review

NPPES record last updated: October 31, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Jon David Johnson Arnp NPPES

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

MR. JON DAVID JOHNSON ARNP (NPI 1730179698) is an individual family provider in Lake Butler, Florida, licensed in Florida (9197452) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730179698

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. JON DAVID JOHNSONCredential: ARNP

Location Address495 E MAIN STLake Butler, FL 32054-1731

Mailing Address12049 Sw 76th TerLake Butler, FL 32054-7724 · (386) 496-4428

Phone(386) 496-3211

Fax(386) 496-1599

Sole ProprietorNo

Enumeration DateOctober 24, 2005

Last NPPES UpdateOctober 31, 2013

✔ NPI 1730179698 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 FL · 9197452

495 E MAIN ST, Lake Butler, FL 32054

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Other Identifiers 4

Medicare UPINQ01439FL

Medicaid306277500FL

Medicare PINU1671ZFL

Medicaid660083200FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jon David Johnson Arnp 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 32054 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 2

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

NEW RIVER COMMUNITY HEALTH CARE, INC

Family Medicine

495 E MAIN ST
LAKE BUTLER, FL 32054

Union County (386) 496-3211

FLORIDA DEPARTMENT OF HEALTH

Public Health or Welfare

495 E MAIN ST
LAKE BUTLER, FL 32054

Union County (386) 496-3211

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 Jon Johnson's NPI number?

The NPI number for Jon Johnson is 1730179698. It was assigned to this individual provider in the NPPES registry on October 24, 2005.

Where is Jon Johnson located?

Jon Johnson practices at 495 E Main St, Lake Butler, FL 32054. The listed phone number is (386) 496-3211.

What is Jon Johnson's specialty?

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

Is Jon Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jon Johnson was last updated on October 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.