JESSICA MARIS JOHNSON RN
NPI 1730630468
Nurse Practitioner - Psychiatric/Mental Health in Oklahoma City, OK
About Jessica Maris Johnson Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA MARIS JOHNSON RN (NPI 1730630468) is an individual psychiatric/mental health provider in Oklahoma City, Oklahoma, licensed in Oklahoma (82477) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Anthony Hospital - Midwest, and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jessica Maris Johnson Rn 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jessica Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oklahoma City, OK 73119
- Reassigned Medicare billing, Oklahoma enrollment
- 212 clinicians in this Medicare group
Oklahoma City, OK 73116
- Reassigned Medicare billing, Oklahoma enrollment
- 507 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ssm Health St Anthony Hospital - Midwest
Acute Care Hospitals · Midwest City, OKPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 73119 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OKLAHOMA CITY, OK 73119
OKLAHOMA CITY, OK 73119
OKLAHOMA CITY, OK 73119
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 Jessica Johnson's NPI number?
The NPI number for Jessica Johnson is 1730630468. It was assigned to this individual provider in the NPPES registry on October 18, 2016. The provider is also known as Jessica Maris Moates Rn.
Where is Jessica Johnson located?
Jessica Johnson practices at 2129 SW 59th St, Oklahoma City, OK 73119. The listed phone number is (405) 713-5873.
What is Jessica Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jessica Johnson enrolled in Medicare?
Yes. Jessica 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.
Which organizations bill Medicare for Jessica Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Johnson reassigns Medicare benefits to 2 organizations: Ssm Health Care Of Oklahoma, Inc (Oklahoma City, OK) and Saints Medical Group, LLC (Oklahoma City, OK). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jessica Johnson accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Jessica 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 Jessica Johnson affiliated with any hospitals?
According to CMS data, Jessica Johnson is affiliated with Ssm Health St Anthony Hospital - Midwest.
When was this NPI record last updated?
The NPPES record for Jessica Johnson was last updated on March 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Jessica Maris Johnson, RN · NPI 1730630468
Psychiatric/Mental Health physician in Oklahoma City, Oklahoma. Individual provider, active in the CMS NPPES registry since October 18, 2016.
## Identity
- **NPI:** 1730630468 (Entity type: Individual)
- **Enumerated:** October 18, 2016
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 82477 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 2129 SW 59TH ST, Oklahoma City, OK 73119-7024
- **Phone:** (405) 713-5873 · **Fax:** (405) 713-5816
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ssm Health Care Of Oklahoma, Inc (NPI 1184723678, Oklahoma City, OK); Saints Medical Group, LLC (NPI 1437195922, Oklahoma City, OK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** March 16, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1730630468) · Data from the CMS NPPES public registry.