MRS. GABRIELLE NICOLE JOHNSON NP
NPI 1871013748
Nurse Practitioner - Family in Phoenix, AZ

Q: What is Gabrielle Johnson's NPI number?

The NPI number for Gabrielle Johnson is 1871013748. It was assigned to this individual provider in the NPPES registry on June 22, 2017.

Q: What is Gabrielle Johnson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gabrielle Johnson was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 June 22, 2017PECOS EnrolledAccepts Medicare Assignment

625 N 6TH ST, PHOENIX, AZ 85004(602) 406-8222(602) 406-7811 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 14, 2026, Dec 13, 2024, Sep 17, 2021 and 5 more (8 updates tracked since 2017).

On this page

About Mrs. Gabrielle Nicole Johnson Np NPPES

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

MRS. GABRIELLE NICOLE JOHNSON NP (NPI 1871013748) is an individual family provider in Phoenix, Arizona, licensed in Arizona (AP10360) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Logan Health Medical Center, and maintains a secondary practice location in Kalispell.

NPPES Registry Identity

NPI1871013748

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. GABRIELLE NICOLE JOHNSONCredential: NP

Location Address625 N 6TH STPhoenix, AZ 85004-2155

Mailing AddressPo Box 33269Phoenix, AZ 85067-3269 · (602) 406-4786 · Fax (916) 636-4358

Phone(602) 406-8222

Fax(602) 406-7811

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJune 22, 2017

Last NPPES UpdateJanuary 14, 20268 updates tracked since enumeration

NPPES CertifiedJanuary 14, 2026

✔ NPI 1871013748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in AZ · AP10360✔ Licensed in MT · 275380

Also ListedRegistered Nurse · HospiceTaxonomy 163WH1000X · License RN161269 (AZ)

625 N 6TH ST, Phoenix, AZ 85004

Open in Google Maps ↗

Secondary Practice Location 1

Location 1343 Sunnyview LnKalispell, MT 59901-3156 · Phone (406) 752-1790 · Fax (406) 756-3529

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and more.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

Mrs. Gabrielle Nicole 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 ID2567735186

PECOS Enrollment IDI20170901002437, I20260127001862

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 Reassignments

Medicare enrollment records show Gabrielle Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

City Of Hope Medical Group Of Arizona LLC

17 mi

Medical Oncology

14200 CELEBRATE LIFE WAY
Goodyear, AZ 85338

Reassigned Medicare billing, Arizona enrollment
359 clinicians in this Medicare group

NPI 1609026806 (847) 746-4333

Kalispell Regional Medical Center Inc

988 mi

Family Medicine

106 RIDGEWATER DR STE A
Polson, MT 59860

Reassigned Medicare billing, Montana enrollment
483 clinicians in this Medicare group

NPI 1528386802 (406) 883-3200

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 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

20 services18 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

16 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Logan Health Medical Center

Acute Care Hospitals · Kalispell, MT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number270051

Location310 Sunnyview LaneKalispell, MT 59901 · Flathead County

Emergency services Birthing friendly

Logan Health - Whitefish

Critical Access Hospitals · Whitefish, MT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number271336

Location1600 Hospital WayWhitefish, MT 59937 · Flathead County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85004 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

100%143 patients5/55-star benchmark: 100%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen

100%113 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. JASON T. WISEMAN MD, MSPH

Surgery (Surgical Oncology)