DORENE (DODIE) L JOHNSON CNP
NPI 1811245202
Nurse Practitioner in Kettering, OH

Q: What is Dorene (dodie) Johnson's NPI number?

The NPI number for Dorene (dodie) Johnson is 1811245202. It was assigned to this individual provider in the NPPES registry on August 16, 2012.

Q: What is Dorene (dodie) Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since August 16, 2012PECOS EnrolledAccepts Medicare Assignment

1050 FORRER BLVD STE 250, KETTERING, OH 45420(009) 864-8018(937) 684-9990 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 8, 2025, Jun 26, 2025, Jan 13, 2016 and 1 more (4 updates tracked since 2015).

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About Dorene (dodie) L Johnson Cnp NPPES

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

DORENE (DODIE) L JOHNSON CNP (NPI 1811245202) is an individual nurse practitioner in Kettering, Ohio, licensed in Ohio (ARNP.CNP.13325) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1811245202

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameDORENE (DODIE) L JOHNSONCredential: CNP

Location Address1050 FORRER BLVD STE 250Kettering, OH 45420-3640

Mailing Address1050 Forrer Blvd Ste 250Kettering, OH 45420-3640 · (800) 986-4801 · Fax (937) 684-9990

Phone(009) 864-8018

Fax(937) 684-9990

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateAugust 16, 2012

Last NPPES UpdateAugust 8, 20254 updates tracked since enumeration

NPPES CertifiedAugust 8, 2025

✔ NPI 1811245202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in OH · ARNP.CNP.13325

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1050 FORRER BLVD STE 250, Kettering, OH 45420

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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

Dorene (dodie) L Johnson Cnp 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 ID6608027149

PECOS Enrollment IDI20121110000098

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45420 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 7

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

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