NATHAN PATRICK JOHNSON PMHNP-BC
NPI 1952754442
Nurse Practitioner - Psychiatric/Mental Health in Salem, OR

Q: What is Nathan Johnson's NPI number?

The NPI number for Nathan Johnson is 1952754442. It was assigned to this individual provider in the NPPES registry on July 19, 2016.

Q: What is Nathan Johnson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nathan Johnson was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 July 19, 2016PECOS EnrolledAccepts Medicare Assignment

4035 12TH ST CUTOFF SE STE 120, SALEM, OR 97302(971) 304-9306(503) 926-6624 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jun 9, 2025, Jul 25, 2019, Jan 23, 2019 and 1 more (4 updates tracked since 2017).

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About Nathan Patrick Johnson Pmhnp-bc NPPES

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

NATHAN PATRICK JOHNSON PMHNP-BC (NPI 1952754442) is an individual psychiatric/mental health provider in Salem, Oregon, licensed in Oregon (201701390NP-PP) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Salem, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1952754442

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameNATHAN PATRICK JOHNSONCredential: PMHNP-BC

Location Address4035 12TH ST CUTOFF SE STE 120Salem, OR 97302

Mailing AddressPo Box 12926Salem, OR 97309-0926 · (971) 304-9306 · Fax (503) 926-6624

Phone(971) 304-9306

Fax(503) 926-6624

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateJuly 19, 2016

Last NPPES UpdateJune 9, 20254 updates tracked since enumeration

NPPES CertifiedJune 9, 2025

✔ NPI 1952754442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in OR · 201701390NP-PP✔ Licensed in TN · 0000022011

Also ListedRegistered NurseTaxonomy 163W00000X · License 209338 (TN)

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 201701389RN (OR)

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 201701390NPPP (OR)

4035 12TH ST CUTOFF SE STE 120, Salem, OR 97302

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Secondary Practice Location 1

Location 11249 Fairview Ave SESalem, OR 97302 · Phone (971) 304-9306

Other Identifiers 1

Other1952754442OR · Peco, Nppes

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans 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

Nathan Patrick Johnson Pmhnp-bc 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 ID3072882208

PECOS Enrollment IDI20170703001391

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 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.

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

72 services14 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.

64 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97302 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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 3

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

MS. JENNIFER CARLEY PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

4035 12TH ST CUTOFF SE STE 120
SALEM, OR 97302

Marion County (503) 371-3121

STASIS PSYCHIATRY, LLC

Nurse Practitioner (Psychiatric/Mental Health)

4035 12TH ST CUTOFF SE STE 120
SALEM, OR 97302

Marion County (971) 304-9306

MICHAEL ZAUROV PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

4035 12TH ST CUTOFF SE STE 120
SALEM, OR 97302

Marion County (971) 599-3411

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 Nathan Johnson's NPI number?

The NPI number for Nathan Johnson is 1952754442. It was assigned to this individual provider in the NPPES registry on July 19, 2016.

Where is Nathan Johnson located?

Nathan Johnson practices at 4035 12th St Cutoff SE Ste 120, Salem, OR 97302. The listed phone number is (971) 304-9306.

What is Nathan Johnson's specialty?

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

Is Nathan Johnson enrolled in Medicare?

Yes. Nathan 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 Nathan Johnson accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Nathan 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 Nathan Johnson was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.