MR. CLARENCE MCNEIL JOHNSON JR. CRNP-PMH - NPI 1740755594 - Nurse Practitioner in Brandywine, MD

Q: What is Clarence Johnson's NPI number?

The NPI number for Clarence Johnson is 1740755594. It was assigned to this individual provider in the NPPES registry on October 9, 2018.

Q: What is Clarence Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Clarence Johnson was last updated on February 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mr. Clarence Mcneil Johnson Jr. Crnp-pmh NPPES

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

MR. CLARENCE MCNEIL JOHNSON JR. CRNP-PMH (NPI 1740755594) is an individual psychiatric/mental health provider in Brandywine, Maryland, licensed in Maryland (AC002607) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1740755594

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. CLARENCE MCNEIL JOHNSON JR.Credential: CRNP-PMH

Location Address7450 ALBERT RD FL 2Brandywine, MD 20613-3035

Mailing Address7450 Albert Rd Fl 3Brandywine, MD 20613-3035 · (301) 888-2233

Phone(301) 888-2233

Fax(301) 888-9133

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateOctober 9, 2018

Last NPPES UpdateFebruary 17, 20236 updates tracked since enumeration

NPPES CertifiedFebruary 17, 2023

✔ NPI 1740755594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MD · AC002607

7450 ALBERT RD FL 2, Brandywine, MD 20613

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Other Identifiers 1

Medicaid559402201MD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, UnitedHealthcare.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

Mr. Clarence Mcneil Johnson Jr. Crnp-pmh 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 ID7416320957

PECOS Enrollment IDI20250425001323

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 20613 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

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

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 8

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

DAWN ALICIA WILLIAMS MSN FNP-C

Nurse Practitioner (Family)