LISA A JOHNSON CNP
NPI 1861629040
Nurse Practitioner in Charleston, WV

Active since June 16, 2009PECOS Enrolled
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304(304) 647-6006 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 6, 2023, Jan 21, 2021, Oct 24, 2019 and 3 more (6 updates tracked since 2016).

About Lisa A Johnson Cnp NPPES

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

LISA A JOHNSON CNP (NPI 1861629040) is an individual nurse practitioner in Charleston, West Virginia, licensed in West Virginia (APRN48703) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861629040
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLISA A JOHNSONCredential: CNP
Location Address3200 MACCORKLE AVE SECharleston, WV 25304-1227
Mailing Address501 Morris StCharleston, WV 25301-1326 · (304) 647-6006
Sole ProprietorNo
Enumeration DateJune 16, 2009
Last NPPES UpdateJuly 6, 20236 updates tracked since enumeration
NPPES CertifiedJuly 6, 2023
NPI 1861629040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in WV · APRN48703
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.
Also ListedClinical Nurse Specialist · Medical-SurgicalTaxonomy 364SM0705X · License 48703 (WV)
3200 MACCORKLE AVE SE, Charleston, WV 25304

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lisa A Johnson Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 25304 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

Emergency Medicine
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Registered Nurse
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Nurse Practitioner (Family)
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Nurse Anesthetist, Certified Registered
3200 MACCORKLE AVE SE
CHARSTON, WV 25304
Family Medicine
3200 MACCORKLE AVE SE, FIFTH FLOOR
CHARLESTON, WV 25304
Nurse Anesthetist, Certified Registered
3200 MACCORKLE AVE SE, DEPT. OF SURGERY
CHARLESTON, WV 25304
Nurse Anesthetist, Certified Registered
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Nurse Anesthetist, Certified Registered
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304

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 Lisa Johnson's NPI number?

The NPI number for Lisa Johnson is 1861629040. It was assigned to this individual provider in the NPPES registry on June 16, 2009.

Where is Lisa Johnson located?

Lisa Johnson practices at 3200 Maccorkle Ave SE, Charleston, WV 25304. The listed phone number is (304) 647-6006.

What is Lisa Johnson's specialty?

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

Is Lisa Johnson enrolled in Medicare?

Yes. Lisa Johnson is registered in the Medicare PECOS enrollment system.

What insurance does Lisa Johnson accept?

Health plans from CareSource list Lisa 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 Lisa Johnson was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.