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DR. BETSY JOHNSON
NPI 1750084240
Student in an Organized Health Care Education/Training Program in Santa Rosa, CA

Active since March 23, 2023PECOS Enrolled
5142 SANTA ROSA CREEK DR, SANTA ROSA, CA 95409(630) 456-2516 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Betsy Johnson NPPES

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

DR. BETSY JOHNSON (NPI 1750084240) is an individual student in an organized health care education/training program in Santa Rosa, California and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750084240
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. BETSY JOHNSON
Location Address5142 SANTA ROSA CREEK DRSanta Rosa, CA 95409-4275
Mailing Address5142 Santa Rosa Creek DrSanta Rosa, CA 95409-4275 · (630) 456-2516
Phone(630) 456-2516
Sole ProprietorNo
Enumeration DateMarch 23, 2023
NPPES CertifiedMarch 23, 2023
✔ NPI 1750084240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5142 SANTA ROSA CREEK DR, Santa Rosa, CA 95409
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Betsy Johnson 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.

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 Betsy Johnson's NPI number?

The NPI number for Betsy Johnson is 1750084240. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Where is Betsy Johnson located?

Betsy Johnson practices at 5142 Santa Rosa Creek Dr, Santa Rosa, CA 95409. The listed phone number is (630) 456-2516.

What is Betsy Johnson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Betsy Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Betsy Johnson was last updated on March 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.