TELISHA JOHNSON APRN
NPI 1770066086
Nurse Practitioner - Family in Upper Marlboro, MD
About Telisha Johnson Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TELISHA JOHNSON APRN (NPI 1770066086) is an individual family provider in Upper Marlboro, Maryland, licensed in Maryland (AC002448) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
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
Telisha Johnson Aprn 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 Telisha Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bowie, MD 20716
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 336 clinicians in this Medicare group
Des Moines, IA 50309
- Reassigned Medicare billing, Maryland enrollment
- 4 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20772 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Telisha Johnson's NPI number?
The NPI number for Telisha Johnson is 1770066086. It was assigned to this individual provider in the NPPES registry on September 12, 2018.
Where is Telisha Johnson located?
Telisha Johnson practices at 7600 SE Crain Hwy, Upper Marlboro, MD 20772. The listed phone number is (301) 627-6603.
What is Telisha Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Telisha Johnson enrolled in Medicare?
Yes. Telisha 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 Telisha Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Telisha Johnson reassigns Medicare benefits to 2 organizations: Luminis Health Medical Group, LLC (Bowie, MD) and Openloop Healthcare Partners PC (Des Moines, IA). 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 Telisha Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Telisha Johnson accept?
Health plans from Blue Cross and Blue Shield of Texas list Telisha 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.
When was this NPI record last updated?
The NPPES record for Telisha Johnson was last updated on July 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Telisha Johnson, APRN · NPI 1770066086
Family physician in Upper Marlboro, Maryland. Individual provider, active in the CMS NPPES registry since September 12, 2018.
## Identity
- **NPI:** 1770066086 (Entity type: Individual)
- **Enumerated:** September 12, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AC002448 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 7600 SE CRAIN HWY, Upper Marlboro, MD 20772-4232
- **Phone:** (301) 627-6603
## 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): Luminis Health Medical Group, LLC (NPI 1467752345, Bowie, MD); Openloop Healthcare Partners PC (NPI 1245820661, Des Moines, IA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** July 10, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1770066086) · Data from the CMS NPPES public registry.