NP JOHNSON TELEHEALTH WELLNESS CARE, LLC
NPI 1760201255
Nurse Practitioner - Adult Health in Lake Saint Louis, MO

Active since October 10, 2024CLIA 26D2337040 · Waiver
315 SPRING DAY CT, LAKE SAINT LOUIS, MO 63367(314) 520-8856 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Np Johnson Telehealth Wellness Care, Llc NPPES

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

NP JOHNSON TELEHEALTH WELLNESS CARE, LLC (NPI 1760201255) is a healthcare organization registered as an adult health in Lake Saint Louis, Missouri and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through January 13, 2028 and lists Damaris Laverne Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1760201255
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameNP JOHNSON TELEHEALTH WELLNESS CARE, LLC
Location Address315 SPRING DAY CTLake Saint Louis, MO 63367-6336
Mailing Address315 Spring Day CtLake St Louis, MO 63367-1963 · (314) 520-8856
Organization SubpartNo
Authorized OfficialDamaris Laverne JohnsonOwner · (314) 520-8856
Enumeration DateOctober 10, 2024
NPPES CertifiedOctober 10, 2024
✔ NPI 1760201255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
315 SPRING DAY CT, Lake Saint Louis, MO 63367

Other Names 1

Former Legal Business NameNp Johnson Telehealth Wellness Care, Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Np Johnson Telehealth Wellness Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Np Johnson Telehealth Wellness Care, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1508347659
4055 VALLEY VIEW LN
Dallas, TX 75244
(972) 715-3800
✔ PECOS527 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2337040

Np Johnson Telehealth Wellness Care, LLC · Lake Saint Louis, MO
Active · expires Jan 13, 2028
CLIA Number26D2337040
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 14, 2026
Certificate Expiration DateJanuary 13, 2028
Laboratory DirectorDamaris L. Johnson
Laboratory Phone(314) 520-8856
Laboratory LocationNp Johnson Telehealth Wellness Care, LLC315 Spring Day Ct, Lake Saint Louis, MO 63367
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Np Johnson Telehealth Wellness Care, LLC's NPI number?

The NPI number for Np Johnson Telehealth Wellness Care, LLC is 1760201255. It was assigned to this organization in the NPPES registry on October 10, 2024.

Where is Np Johnson Telehealth Wellness Care, LLC located?

Np Johnson Telehealth Wellness Care, LLC is located at 315 Spring Day Ct, Lake Saint Louis, MO 63367. The listed phone number is (314) 520-8856.

What is Np Johnson Telehealth Wellness Care, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Np Johnson Telehealth Wellness Care, LLC enrolled in Medicare?

Yes. Np Johnson Telehealth Wellness Care, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Np Johnson Telehealth Wellness Care, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Np Johnson Telehealth Wellness Care, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Np Johnson Telehealth Wellness Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2337040) is associated with this NPI, valid through January 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Np Johnson Telehealth Wellness Care, LLC was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.