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AMANDA-GRACE JOHNSON DNP
NPI 1790385136
Nurse Practitioner - Family in Boulder City, NV

Active since October 26, 2020PECOS EnrolledAccepts Medicare Assignment
1297 BOULDER CITY PKWY STE A, BOULDER CITY, NV 89005(702) 294-1919(702) 294-0072 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 18, 2022, Aug 27, 2021, Oct 26, 2020 (3 updates tracked since 2020).

About Amanda-grace Johnson Dnp NPPES

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

AMANDA-GRACE JOHNSON DNP (NPI 1790385136) is an individual family provider in Boulder City, Nevada, licensed in Nevada (816524) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, is affiliated with Boulder City Hospital, and maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1790385136
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMANDA-GRACE JOHNSONCredential: DNP
Location Address1297 BOULDER CITY PKWY STE ABoulder City, NV 89005-1854
Mailing Address6355 S Buffalo Dr Fl 3Las Vegas, NV 89113-2133 · (702) 216-3346 · Fax (702) 671-6883
Phone(702) 294-1919
Fax(702) 294-0072
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 26, 2020
Last NPPES UpdateOctober 18, 20223 updates tracked since enumeration
NPPES CertifiedOctober 18, 2022
✔ NPI 1790385136 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 NV · 816524
Also ListedRegistered NurseTaxonomy 163W00000X · License 816524 (NV)
1297 BOULDER CITY PKWY STE A, Boulder City, NV 89005
Open in Google Maps ↗

Secondary Practice Location 1

Location 1620 Shadow LnLas Vegas, NV 89106-4194 · Phone (702) 388-4000

Other Identifiers 2

Medicaid1790385136NV
Other816524NV · State License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda-grace Johnson Dnp 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.

PECOS PAC ID1658775168
PECOS Enrollment IDI20210805001705
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
72 services44 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
37 services37 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services11 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Boulder City Hospital

Critical Access Hospitals · Boulder City, NV
OwnershipVoluntary non-profit - Private
CMS Certification Number291309
Location901 Adams BlvdBoulder City, NV 89005 · Clark County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89005 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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

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

DR. BRIAN VICTOR EARLEY DO
Family Medicine
1297 BOULDER CITY PKWY STE A
BOULDER CITY, NV 89005
Clark County (702) 294-1919

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 Amanda-grace Johnson's NPI number?

The NPI number for Amanda-grace Johnson is 1790385136. It was assigned to this individual provider in the NPPES registry on October 26, 2020.

Where is Amanda-grace Johnson located?

Amanda-grace Johnson practices at 1297 Boulder City Pkwy Ste A, Boulder City, NV 89005. The listed phone number is (702) 294-1919.

What is Amanda-grace Johnson's specialty?

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

Is Amanda-grace Johnson enrolled in Medicare?

Yes. Amanda-grace 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.

Is Amanda-grace Johnson affiliated with any hospitals?

According to CMS data, Amanda-grace Johnson is affiliated with Boulder City Hospital.

When was this NPI record last updated?

The NPPES record for Amanda-grace Johnson was last updated on October 18, 2022. 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.