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MARY JOHNSON ARNP
NPI 1750345898
Nurse Practitioner - Family in Davenport, FL

Active since April 14, 2006Opted out of Medicare · through Oct 1, 2027
7575 OSCEOLA POLK LINE RD, DAVENPORT, FL 33896(321) 677-0531(321) 677-0537 Get Directions Write a Review

NPPES record last updated: September 1, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Johnson Arnp NPPES

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

MARY JOHNSON ARNP (NPI 1750345898) is an individual family provider in Davenport, Florida, licensed in Florida (1466102) and active in the NPI registry since April 2006. She has opted out of Medicare through October 1, 2027.

NPPES Registry Identity

NPI1750345898
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY JOHNSONCredential: ARNP
Location Address7575 OSCEOLA POLK LINE RDDavenport, FL 33896-9112
Mailing Address12 South Blvd EDavenport, FL 33837-7542 · (321) 677-0531 · Fax (321) 677-0537
Phone(321) 677-0531
Fax(321) 677-0537
Sole ProprietorNo
Enumeration DateApril 14, 2006
Last NPPES UpdateSeptember 1, 2011
✔ NPI 1750345898 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 · 1466102
7575 OSCEOLA POLK LINE RD, Davenport, FL 33896
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Other Identifiers 3

Medicare UPINP81478FL
Medicare ID-Type UnspecifiedU0125ZFL · Medicare Provider #
Medicaid304941800FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mary Johnson Arnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2017 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2017
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33896 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 12

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

BRIANA BROWN FNP
Nurse Practitioner (Family)
7575 OSCEOLA POLK LINE RD
DAVENPORT, FL 33896
Polk County (321) 677-0531
DR. MAX BEAUVOIR PHARMD
Pharmacist
7575 OSCEOLA POLK LINE RD
DAVENPORT, FL 33896
Polk County (321) 677-0531
BENSLEY FAUSTIN PHARMACIST
Pharmacist
7575 OSCEOLA POLK LINE RD
DAVENPORT, FL 33896
Polk County (321) 677-0531
KRISTEN SMITH
Registered Nurse
7575 OSCEOLA POLK LINE RD
DAVENPORT, FL 33896
Polk County (321) 677-0531
MS. AMY MICHELLE DELOACH APRN
Nurse Practitioner (Family)
7575 OSCEOLA POLK LINE RD
DAVENPORT, FL 33896
Polk County (321) 677-0531
EMILY JOHNSON
Nurse Practitioner
7575 OSCEOLA POLK LINE RD
DAVENPORT, FL 33896
Polk County (321) 677-0531
MRS. CYNTHIA SUZANNE BRUNS-SMIT ARNP
Nurse Practitioner (Family)
7575 OSCEOLA POLK LINE RD
DAVENPORT, FL 33896
Polk County (321) 677-0531
GLORIA ILSE TATIANA AMEZQUITA LARA PHARMACIST
Pharmacist
7575 OSCEOLA POLK LINE RD
DAVENPORT, FL 33896
Polk County (321) 677-0531

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 Mary Johnson's NPI number?

The NPI number for Mary Johnson is 1750345898. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Where is Mary Johnson located?

Mary Johnson practices at 7575 Osceola Polk Line Rd, Davenport, FL 33896. The listed phone number is (321) 677-0531.

What is Mary Johnson's specialty?

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

Is Mary Johnson enrolled in Medicare?

No. Mary Johnson has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Mary Johnson was last updated on September 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.