MARY JOHNSON NP
NPI 1841861168
Nurse Practitioner - Adult Health in New York, NY

Q: What is Mary Johnson's NPI number?

The NPI number for Mary Johnson is 1841861168. It was assigned to this individual provider in the NPPES registry on July 7, 2021.

Q: What is Mary Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Mary Johnson was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.

Active since July 07, 2021PECOS EnrolledAccepts Medicare Assignment

95.19/100

CMS Quality Rating

228 PARK AVE S STE 16389, NEW YORK, NY 10003(646) 876-8455 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 18, 2026, Sep 28, 2021, Jul 7, 2021 (3 updates tracked since 2021).

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About Mary Johnson Np NPPES

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

MARY JOHNSON NP (NPI 1841861168) is an individual adult health provider in New York, New York, licensed in New York (310464) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Clifton Springs Hospital And Clinic, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1841861168

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMARY JOHNSONCredential: NP

Location Address228 PARK AVE S STE 16389New York, NY 10003-0103

Mailing Address169 Madison Ave Ste 381114New York, NY 10016-5101 · (646) 876-8455

Phone(646) 876-8455

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJuly 7, 2021

Last NPPES UpdateMarch 18, 20263 updates tracked since enumeration

NPPES CertifiedMarch 18, 2026

✔ NPI 1841861168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

Licenses✔ Licensed in NY · 310464✔ Licensed in DC · NP500225972✔ Licensed in MI · 4704439802✔ Licensed in VA · 0024194096✔ Licensed in MA · RN10028361✔ Licensed in MD · R275385✔ Licensed in FL · TPAN35453

228 PARK AVE S STE 16389, New York, NY 10003

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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

Mary Johnson Np 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 ID1052709839

PECOS Enrollment IDI20211027002636

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 3

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.

114 services96 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

61 services61 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.

16 services15 patients

Hospital Affiliations CMS Care Compare

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

Clifton Springs Hospital And Clinic

Acute Care Hospitals · Clifton Springs, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330265

Location2 Coulter RoadClifton Springs, NY 14432 · Ontario County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10003 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

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.19/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

70.62

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier11 claims11 services$168.51 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

INTEGRATED DIGESTIVE MEDICAL OF NEW YORK, P.C.

Internal Medicine (Gastroenterology)