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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DELICA JOHNSON APRN
NPI 1801438403
Nurse Practitioner - Family in Maryland Heights, MO

Active since October 15, 2019PECOS Enrolled
13655 RIVERPORT DR FL 5, MARYLAND HEIGHTS, MO 63043(866) 686-2504 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 18, 2026, Oct 15, 2019 (2 updates tracked since 2019).

About Delica Johnson Aprn NPPES

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

DELICA JOHNSON APRN (NPI 1801438403) is an individual family provider in Maryland Heights, Missouri, licensed in Missouri (2019023372) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1801438403
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDELICA JOHNSONCredential: APRN
Location Address13655 RIVERPORT DR FL 5Maryland Heights, MO 63043-4812
Mailing Address13655 Riverport Dr Fl 5Maryland Heights, MO 63043-4812 · (866) 686-2504
Phone(866) 686-2504
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 15, 2019
Last NPPES UpdateSeptember 18, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2026
✔ NPI 1801438403 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 MO · 2019023372
13655 RIVERPORT DR FL 5, Maryland Heights, MO 63043
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Delica Johnson Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991161333
PECOS Enrollment IDI20260113002287
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 Reassignments

2

Medicare enrollment records show Delica Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ozarks Medical Center
128 mi
Cardiovascular Disease
1333 S SAM HOUSTON BLVD
Houston, MO 65483
  • Reassigned Medicare billing, Missouri enrollment
  • 338 clinicians in this Medicare group
NPI 1770424541 (417) 257-5950
Baxter Health Fulton County Hospital
179 mi
Critical Access
679 N MAIN ST
Salem, AR 72576
  • Reassigned Medicare billing, Arkansas enrollment
  • Also billed through NPI 1841038825 (Arkansas), NPI 1952132946 (Arkansas)
  • 14 clinicians in this Medicare group
NPI 1376391177 (870) 895-2691

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 63043 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

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 Delica Johnson's NPI number?

The NPI number for Delica Johnson is 1801438403. It was assigned to this individual provider in the NPPES registry on October 15, 2019.

Where is Delica Johnson located?

Delica Johnson practices at 13655 Riverport Dr Fl 5, Maryland Heights, MO 63043. The listed phone number is (866) 686-2504.

What is Delica Johnson's specialty?

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

Is Delica Johnson enrolled in Medicare?

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

Which organizations bill Medicare for Delica Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Delica Johnson reassigns Medicare benefits to 2 organizations: Ozarks Medical Center (Houston, MO) and Baxter Health Fulton County Hospital (Salem, AR). 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 Delica 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 Delica Johnson was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.