DR. NICOLE ALEXIS JOHNSON M.D.
NPI 1902288020
Internal Medicine in Dallas, TX

Q: What is Nicole Johnson's NPI number?

The NPI number for Nicole Johnson is 1902288020. It was assigned to this individual provider in the NPPES registry on June 25, 2015.

Q: What is Nicole Johnson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Johnson was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 25, 2015PECOS EnrolledAccepts Medicare Assignment

3450 W CAMP WISDOM RD, DALLAS, TX 75237(214) 645-7500 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 6, 2025, Apr 22, 2024, Mar 28, 2023 and 1 more (4 updates tracked since 2022).

On this page

About Dr. Nicole Alexis Johnson M.d. NPPES

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

DR. NICOLE ALEXIS JOHNSON M.D. (NPI 1902288020) is an individual internal medicine provider in Dallas, Texas, licensed in Texas (R7490) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Ut Southwestern University Hospital - William P. Clements Jr., and is a graduate of Meharry Medical College School Of Medicine (2015).

NPPES Registry Identity

NPI1902288020

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. NICOLE ALEXIS JOHNSONCredential: M.D.

Location Address3450 W CAMP WISDOM RDDallas, TX 75237-2515

Mailing AddressPo Box 845347Dallas, TX 75284-7208 · (214) 645-7500

Phone(214) 645-7500

Sole ProprietorNo

Medical School CMSMeharry Medical College School Of MedicineGraduated 2015

Enumeration DateJune 25, 2015

Last NPPES UpdateJanuary 6, 20254 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2025

✔ NPI 1902288020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TX · R7490

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

3450 W CAMP WISDOM RD, Dallas, TX 75237

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Dr. Nicole Alexis Johnson M.d. 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 ID941506281

PECOS Enrollment IDI20180917000821

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 7

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.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

222 services172 patients

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.

157 services143 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

68 services68 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 services14 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

14 services14 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Ut Southwestern University Hospital - William P. Clements Jr.

Acute Care Hospitals · Dallas, TX

5/5 CMS rating

OwnershipGovernment - State

CMS Certification Number450044

Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75237 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

$131.01 typical visit price

range $57.18 – $172.86

Typical copayment $32.75 (range $14.29 – $43.21)

Most-billed visit code 99204

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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

13 suppliers26 claims66 services$6.30 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers13 claims18 services$1.03 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers13 claims13 services$17.13 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers13 claims13 services$82.54 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 5

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

MARGARET MAWUENA GAVOR MD

Internal Medicine

3450 W CAMP WISDOM RD
DALLAS, TX 75237

Dallas County (214) 645-7500

JAMIE MARIE FABER PA

Physician Assistant

3450 W CAMP WISDOM RD
DALLAS, TX 75237

Dallas County (214) 214-5800

HUMZA FEROZ SIDDIQI MD

Family Medicine

3450 W CAMP WISDOM RD
DALLAS, TX 75237

Dallas County (214) 645-3900

LUXOTTICA RETAIL NORTH AMERICA INC

Eyewear Supplier

3450 W CAMP WISDOM RD, REDBIRD MALL
DALLAS, TX 75237

Dallas County (972) 780-4550

HUSSNA ELSADIG ABUNAFEESA M.D

Internal Medicine (Hematology & Oncology)

3450 W CAMP WISDOM RD
DALLAS, TX 75237

Dallas County (214) 645-7500

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 Nicole Johnson's NPI number?

The NPI number for Nicole Johnson is 1902288020. It was assigned to this individual provider in the NPPES registry on June 25, 2015.

Where is Nicole Johnson located?

Nicole Johnson practices at 3450 W Camp Wisdom Rd, Dallas, TX 75237. The listed phone number is (214) 645-7500.

What is Nicole Johnson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nicole Johnson enrolled in Medicare?

Yes. Nicole 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 Nicole Johnson accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Nicole 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.

Is Nicole Johnson affiliated with any hospitals?

According to CMS data, Nicole Johnson is affiliated with Ut Southwestern University Hospital - William P. Clements Jr..

When was this NPI record last updated?

The NPPES record for Nicole Johnson was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.