MARTHA STACY JOHNSON PMHNP
NPI 1912736141
Nurse Practitioner - Psychiatric/Mental Health in Kokomo, IN

Active since July 27, 2024PECOS Enrolled
702 W ALTO RD, KOKOMO, IN 46902(317) 876-3699 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Martha Stacy Johnson Pmhnp NPPES

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

MARTHA STACY JOHNSON PMHNP (NPI 1912736141) is an individual psychiatric/mental health provider in Kokomo, Indiana, licensed in Indiana (71015636A) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912736141
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARTHA STACY JOHNSONCredential: PMHNP
Location Address702 W ALTO RDKokomo, IN 46902-4907
Mailing Address702 W Alto RdKokomo, IN 46902-4907 · (317) 876-3699
Sole ProprietorNo
Enumeration DateJuly 27, 2024
Last NPPES UpdateOctober 17, 2024
NPPES CertifiedOctober 17, 2024
✔ NPI 1912736141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IN · 71015636A
702 W ALTO RD, Kokomo, IN 46902

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Martha Stacy Johnson Pmhnp 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.

Medicare Billing Reassignments

2

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

Community/Behavioral Health
1234 N COURTLAND AVE
Kokomo, IN 46901
  • Reassigned Medicare billing, Indiana enrollment
  • 19 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
1503 N MITTHOEFFER RD STE 150
Indianapolis, IN 46229
  • Reassigned Medicare billing, Indiana enrollment
  • 153 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46902 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 5

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

Social Worker (Clinical)
702 W ALTO RD
KOKOMO, IN 46902
Psychiatry & Neurology (Psychiatry)
702 W ALTO RD
KOKOMO, IN 46902
Psychologist
702 W ALTO RD
KOKOMO, IN 46902
Marriage & Family Therapist
702 W ALTO RD
KOKOMO, IN 46902
Social Worker (Clinical)
702 W ALTO RD
KOKOMO, IN 46902

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 Martha Johnson's NPI number?

The NPI number for Martha Johnson is 1912736141. It was assigned to this individual provider in the NPPES registry on July 27, 2024.

Where is Martha Johnson located?

Martha Johnson practices at 702 W Alto Rd, Kokomo, IN 46902. The listed phone number is (317) 876-3699.

What is Martha Johnson's specialty?

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

Is Martha Johnson enrolled in Medicare?

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

Which organizations bill Medicare for Martha Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Martha Johnson reassigns Medicare benefits to 2 organizations: Turning Point Soc, Inc. (Kokomo, IN) and Jane Pauley Community Health Center Inc (Indianapolis, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Martha Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Martha Johnson accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Cigna Healthcare and UnitedHealthcare list Martha 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 Martha Johnson was last updated on October 17, 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.