1. Home
  2. Directory
  3. Florida
  4. Moore Haven
  5. Nurse Practitioner
  6. NPI Profile

JENNIFER NICHOLE JOHNSON APRN
NPI 1821691544
Nurse Practitioner - Family in Moore Haven, FL

Active since November 17, 2020PECOS EnrolledAccepts Medicare Assignment
43 AVENUE J SW, MOORE HAVEN, FL 33471(863) 599-1620 Get Directions Write a Review

NPPES record last updated: August 31, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 31, 2022, Aug 8, 2022, Nov 17, 2020 (3 updates tracked since 2020).

About Jennifer Nichole Johnson Aprn NPPES

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

JENNIFER NICHOLE JOHNSON APRN (NPI 1821691544) is an individual family provider in Moore Haven, Florida, licensed in Florida (11010025) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Hca Florida Raulerson Hospital, and maintains a secondary practice location in Moore Haven.

NPPES Registry Identity

NPI1821691544
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER NICHOLE JOHNSONCredential: APRN
Location Address43 AVENUE J SWMoore Haven, FL 33471-2116
Mailing Address43 Avenue J SwMoore Haven, FL 33471-2116 · (863) 946-0284 · Fax (863) 946-0794
Phone(863) 599-1620
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 17, 2020
Last NPPES UpdateAugust 31, 20223 updates tracked since enumeration
NPPES CertifiedAugust 31, 2022
✔ NPI 1821691544 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 FL · 11010025
43 AVENUE J SW, Moore Haven, FL 33471
Open in Google Maps ↗

Secondary Practice Location 1

Location 13779 Wayman RdMoore Haven, FL 33471-5526 · Phone (863) 599-1620

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), UnitedHealthcare.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

Jennifer Nichole 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.

PECOS PAC ID6305243460
PECOS Enrollment IDI20210920000079
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 Jennifer Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Johnson Riverside Family Practice LLC
Same address
Family Medicine
43 AVENUE J
Moore Haven, FL 33471
  • Reassigned Medicare billing, Florida enrollment
NPI 1295409423 (863) 599-1620

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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 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.
240 services73 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
27 services27 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
24 services19 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.
13 services13 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Florida Raulerson Hospital

Acute Care Hospitals · Okeechobee, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100252
Location1796 Hwy 441 NorthOkeechobee, FL 34972 · Okeechobee County

Hendry Regional Medical Center

Critical Access Hospitals · Clewiston, FL
OwnershipVoluntary non-profit - Other
CMS Certification Number101309
Location524 W Sagamore AveClewiston, FL 33440 · Hendry County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33471 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 Jennifer Johnson's NPI number?

The NPI number for Jennifer Johnson is 1821691544. It was assigned to this individual provider in the NPPES registry on November 17, 2020.

Where is Jennifer Johnson located?

Jennifer Johnson practices at 43 Avenue J SW, Moore Haven, FL 33471. The listed phone number is (863) 599-1620.

What is Jennifer Johnson's specialty?

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

Is Jennifer Johnson enrolled in Medicare?

Yes. Jennifer 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 organization bills Medicare for Jennifer Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Johnson reassigns Medicare benefits to Johnson Riverside Family Practice LLC (Moore Haven, FL). 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 Jennifer Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Johnson accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Jennifer 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.

Is Jennifer Johnson affiliated with any hospitals?

According to CMS data, Jennifer Johnson is affiliated with Hca Florida Raulerson Hospital and Hendry Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jennifer Johnson was last updated on August 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.