EILEEN MARY JOHNSON NP
NPI 1780741777
Nurse Practitioner - Family in Colorado Springs, CO

Active since January 02, 2007PECOS Enrolled
4863 N NEVADA AVE, SECOND FLOOR, COLORADO SPRINGS, CO 80918(719) 632-5700(719) 260-1821 Get Directions Write a Review

NPPES record last updated: April 4, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Eileen Mary Johnson Np NPPES

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

EILEEN MARY JOHNSON NP (NPI 1780741777) is an individual family provider in Colorado Springs, Colorado, licensed in Colorado (APN.0003418-NP) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780741777
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEILEEN MARY JOHNSONCredential: NP
Location Address4863 N NEVADA AVE, SECOND FLOORColorado Springs, CO 80918-3951
Mailing Address3205 N Academy Blvd, Suite 130Colorado Springs, CO 80917-5101 · (719) 632-5700 · Fax (719) 344-7837
Fax(719) 260-1821
Sole ProprietorNo
Enumeration DateJanuary 2, 2007
Last NPPES UpdateApril 4, 2017
✔ NPI 1780741777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CO · APN.0003418-NP
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 62306 (CO)
4863 N NEVADA AVE, Colorado Springs, CO 80918

Other Identifiers 2

Medicaid44857314CO
OtherCO 305289CO · Medicare Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eileen Mary Johnson Np 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.

Medicare Billing Reassignment

Medicare enrollment records show Eileen Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
3205 N ACADEMY BLVD, SUITE 130
Colorado Springs, CO 80917
  • Reassigned Medicare billing, Colorado enrollment
  • 355 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 80918 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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 20

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

Psychologist
4863 N NEVADA AVE, STE 321
COLORADO SPRINGS, CO 80918
Student in an Organized Health Care Education/Training Program
4863 N NEVADA AVE
COLORADO SPRINGS, CO 80918
Student in an Organized Health Care Education/Training Program
4863 N NEVADA AVE
COLORADO SPRINGS, CO 80918
Nurse Practitioner
4863 N NEVADA AVE
COLORADO SPRINGS, CO 80918
Nurse Practitioner (Adult Health)
4863 N NEVADA AVE
COLORADO SPRINGS, CO 80918
Dietitian, Registered
4863 N NEVADA AVE
COLORADO SPRINGS, CO 80918
Internal Medicine (Cardiovascular Disease)
4863 N NEVADA AVE
COLORADO SPRINGS, CO 80918
Dietitian, Registered
4863 N NEVADA AVE
COLORADO SPRINGS, CO 80918

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 Eileen Johnson's NPI number?

The NPI number for Eileen Johnson is 1780741777. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Where is Eileen Johnson located?

Eileen Johnson practices at 4863 N Nevada Ave Second Floor, Colorado Springs, CO 80918. The listed phone number is (719) 632-5700.

What is Eileen Johnson's specialty?

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

Is Eileen Johnson enrolled in Medicare?

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

Which organization bills Medicare for Eileen Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eileen Johnson reassigns Medicare benefits to Peak Vista Community Health Centers (Colorado Springs, CO). The 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 Eileen Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Eileen Johnson was last updated on April 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.