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MRS. COURTNEY D JOHNSON FNP-C
NPI 1831521426
Nurse Practitioner - Family in Grand Prairie, TX

Active since August 06, 2013PECOS EnrolledAccepts Medicare Assignment
4560 LAKE RIDGE PKWY STE 110, GRAND PRAIRIE, TX 75052(972) 522-7778(972) 522-7779 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Courtney D Johnson Fnp-c NPPES

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

MRS. COURTNEY D JOHNSON FNP-C (NPI 1831521426) is an individual family provider in Grand Prairie, Texas, licensed in Texas (AP125575) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Red Oak, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1831521426
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. COURTNEY D JOHNSONCredential: FNP-C
Location Address4560 LAKE RIDGE PKWY STE 110Grand Prairie, TX 75052-1707
Mailing Address1237 Roan DrLancaster, TX 75134-2356 · (601) 807-8663
Phone(972) 522-7778
Fax(972) 522-7779
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 6, 2013
Last NPPES UpdateJanuary 30, 2024
NPPES CertifiedJanuary 30, 2024
✔ NPI 1831521426 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 TX · AP125575
4560 LAKE RIDGE PKWY STE 110, Grand Prairie, TX 75052
Open in Google Maps ↗

Other Names 1

Former Name (1)Courtney D Green Fnp-c

Secondary Practice Location 1

Location 1105 Harris AveRed Oak, TX 75154-4216 · Phone (972) 617-0034

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Mrs. Courtney D Johnson Fnp-c 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 ID3476876822
PECOS Enrollment IDI20141216001872
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 75052 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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 5

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

MR. CHRISTOPHER WAYNE DAVIS NP-C
Nurse Practitioner (Primary Care)
4560 LAKE RIDGE PKWY STE 110
GRAND PRAIRIE, TX 75052
Dallas County (972) 522-7778
MEDHEALTH
Clinic/Center (Urgent Care)
4560 LAKE RIDGE PKWY STE 110
GRAND PRAIRIE, TX 75052
Dallas County (972) 522-7778
JEREMY SCOTT HATAWAY FNP-BC
Nurse Practitioner (Family)
4560 LAKE RIDGE PKWY STE 110
GRAND PRAIRIE, TX 75052
Dallas County (972) 522-7778
ANNA MARIE SLAYTON FNP
Nurse Practitioner (Family)
4560 LAKE RIDGE PKWY STE 110
GRAND PRAIRIE, TX 75052
Dallas County (972) 522-7778
RONEL LAYUGAN NP
Nurse Practitioner (Acute Care)
4560 LAKE RIDGE PKWY STE 110
GRAND PRAIRIE, TX 75052
Dallas County (972) 522-7778

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 Courtney Johnson's NPI number?

The NPI number for Courtney Johnson is 1831521426. It was assigned to this individual provider in the NPPES registry on August 6, 2013. The provider is also known as Courtney D Green Fnp-C.

Where is Courtney Johnson located?

Courtney Johnson practices at 4560 Lake Ridge Pkwy Ste 110, Grand Prairie, TX 75052. The listed phone number is (972) 522-7778.

What is Courtney Johnson's specialty?

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

Is Courtney Johnson enrolled in Medicare?

Yes. Courtney 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.

What insurance does Courtney Johnson accept?

Health plans from Blue Cross and Blue Shield of Texas list Courtney 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.

When was this NPI record last updated?

The NPPES record for Courtney Johnson was last updated on January 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.