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SUSAN-AE H JOHNSON RN
NPI 1861105389
Nurse Practitioner - Psychiatric/Mental Health in Beavercreek, OH

Active since December 29, 2022PECOS EnrolledAccepts Medicare Assignment
1411 N FAIRFIELD RD, BEAVERCREEK, OH 45432(937) 426-2686(937) 426-6230 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 7, 2024, Dec 29, 2022 (2 updates tracked since 2022).

About Susan-ae H Johnson Rn NPPES

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

SUSAN-AE H JOHNSON RN (NPI 1861105389) is an individual psychiatric/mental health provider in Beavercreek, Ohio, licensed in Ohio (APRN.CNP.0036177) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1861105389
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSUSAN-AE H JOHNSONCredential: RN
Location Address1411 N FAIRFIELD RDBeavercreek, OH 45432-2637
Mailing Address1411 N Fairfield RdBeavercreek, OH 45432-2637 · (937) 426-2686 · Fax (937) 426-6230
Phone(937) 426-2686
Fax(937) 426-6230
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 29, 2022
Last NPPES UpdateMay 7, 20242 updates tracked since enumeration
NPPES CertifiedMay 7, 2024
✔ NPI 1861105389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OH · APRN.CNP.0036177
Also ListedRegistered Nurse · Psychiatric/Mental Health, Child & AdolescentTaxonomy 163WP0807X · License RN.424978 (OH)
1411 N FAIRFIELD RD, Beavercreek, OH 45432
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Susan-ae H Johnson Rn 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 ID2163864679
PECOS Enrollment IDI20240530000115
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 45432 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 20

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

MRS. ALLISON NEWLIN PC
Marriage & Family Therapist
1411 N FAIRFIELD RD
BEAVERCREEK, OH 45432
Greene County (937) 426-2686
HEATHER WASSERMAN BA, CT
Counselor (Mental Health)
1411 N FAIRFIELD RD
BEAVERCREEK, OH 45432
Greene County (937) 426-2686
TARA NICOLE EADES
Counselor
1411 N FAIRFIELD RD
BEAVERCREEK, OH 45432
Greene County (937) 426-2686
AMANDA BABCOCK
Counselor (Mental Health)
1411 N FAIRFIELD RD
BEAVERCREEK, OH 45432
Greene County (937) 426-2686
MS. LORIE STAFFAN
Counselor (Mental Health)
1411 N FAIRFIELD RD
BEAVERCREEK, OH 45432
Greene County (937) 426-2686
CARMEN MARIE SPELLER LPC
Counselor (Professional)
1411 N FAIRFIELD RD
BEAVERCREEK, OH 45432
Greene County (937) 426-2686
CHRISTINA VENESS
Counselor (Mental Health)
1411 N FAIRFIELD RD
BEAVERCREEK, OH 45432
Greene County (937) 426-2686
MICHAEL B BLUE LPC
Counselor (Mental Health)
1411 N FAIRFIELD RD
BEAVERCREEK, OH 45432
Greene County (937) 426-2686

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 Susan-ae Johnson's NPI number?

The NPI number for Susan-ae Johnson is 1861105389. It was assigned to this individual provider in the NPPES registry on December 29, 2022.

Where is Susan-ae Johnson located?

Susan-ae Johnson practices at 1411 N Fairfield Rd, Beavercreek, OH 45432. The listed phone number is (937) 426-2686.

What is Susan-ae Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Susan-ae Johnson enrolled in Medicare?

Yes. Susan-ae 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 Susan-ae Johnson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 4 other insurers list Susan-ae 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 Susan-ae Johnson was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.