TRACY JOHNSON MD
NPI 1972122646
Psychiatry & Neurology - Psychiatry in Fresno, CA

Q: What is Tracy Johnson's NPI number?

The NPI number for Tracy Johnson is 1972122646. It was assigned to this individual provider in the NPPES registry on April 13, 2020.

Q: What is Tracy Johnson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Tracy Johnson was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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 April 13, 2020PECOS Enrolled

4411 E KINGS CANYON RD # 319, FRESNO, CA 93702(559) 600-2382 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 23, 2024, Aug 10, 2023, Jul 20, 2022 and 2 more (5 updates tracked since 2020).

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About Tracy Johnson Md NPPES

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

TRACY JOHNSON MD (NPI 1972122646) is an individual psychiatry provider in Fresno, California, licensed in California (A177199) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1972122646

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameTRACY JOHNSONCredential: MD

Location Address4411 E KINGS CANYON RD # 319Fresno, CA 93702-3604

Mailing Address4411 E Kings Canyon Rd # 319Fresno, CA 93702-3604 · (559) 600-2382

Phone(559) 600-2382

Sole ProprietorNo

Enumeration DateApril 13, 2020

Last NPPES UpdateSeptember 23, 20245 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2024

✔ NPI 1972122646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in CA · A177199

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedSpecialistTaxonomy 174400000X · License A177199 (CA), PTL3958 (CA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4411 E KINGS CANYON RD # 319, Fresno, CA 93702

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Secondary Practice Locations 2

Location 114445 Olive View DrSylmar, CA 91342-1437 · Phone (747) 210-3000

Location 210605 Balboa BlvdGranada Hills, CA 91344-6342 · Phone (818) 832-2400

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tracy Johnson Md 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 93702 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

$176.60 typical visit price

range $58.87 – $176.60

Typical copayment $44.15 (range $14.71 – $44.15)

Most-billed visit code 99205

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

Most-billed visit code 99213

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.

RENA SHERMAINE COOPER

Registered Nurse