OLIVIA NICOLE JOHNSON BSN, RN
NPI 1992473748
Nurse Practitioner in Douglas, AZ

Active since September 04, 2021PECOS EnrolledAccepts Medicare Assignment
1100 N F AVE, DOUGLAS, AZ 85607(520) 364-3285(520) 364-3378 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 22, 2026, Jun 25, 2025 (2 updates tracked since 2025).

About Olivia Nicole Johnson Bsn, Rn NPPES

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

OLIVIA NICOLE JOHNSON BSN, RN (NPI 1992473748) is an individual nurse practitioner in Douglas, Arizona, licensed in Arizona (231513) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of University Of Arizona College Of Medicine (2019).

NPPES Registry Identity

NPI1992473748
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameOLIVIA NICOLE JOHNSONCredential: BSN, RN
Location Address1100 N F AVEDouglas, AZ 85607-1919
Mailing Address1205 N F AveDouglas, AZ 85607-1920 · (520) 364-1429 · Fax (520) 515-8690
Fax(520) 364-3378
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2019
Enumeration DateSeptember 4, 2021
Last NPPES UpdateJanuary 22, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2026
NPI 1992473748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in AZ · 231513
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 231513 (AZ), 95256334 (CA)
1100 N F AVE, Douglas, AZ 85607

Accepted 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

Olivia Nicole Johnson Bsn, Rn 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 ID4880181213
PECOS Enrollment IDI20251017001525
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 85607 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.

Other Providers at the Same Location NPPES 13

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

Social Worker
1100 N F AVE
DOUGLAS, AZ 85607
Nurse Practitioner (Family)
1100 N F AVE
DOUGLAS, AZ 85607
Social Worker (Clinical)
1100 N F AVE
DOUGLAS, AZ 85607
Counselor (Professional)
1100 N F AVE
DOUGLAS, AZ 85607
Dietitian, Registered
1100 N F AVE
DOUGLAS, AZ 85607
Nurse Practitioner (Family)
1100 N F AVE
DOUGLAS, AZ 85607
Nurse Practitioner (Primary Care)
1100 N F AVE
DOUGLAS, AZ 85607
Community/Behavioral Health
1100 N F AVE
DOUGLAS, AZ 85607

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 Olivia Johnson's NPI number?

The NPI number for Olivia Johnson is 1992473748. It was assigned to this individual provider in the NPPES registry on September 4, 2021.

Where is Olivia Johnson located?

Olivia Johnson practices at 1100 N F Ave, Douglas, AZ 85607. The listed phone number is (520) 364-3285.

What is Olivia Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Olivia Johnson enrolled in Medicare?

Yes. Olivia 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 Olivia Johnson accept?

Health plans from Ambetter from Arizona Complete Health list Olivia 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 Olivia Johnson was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.