Reni Johnson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP134872 Issued in TX

Practice address

425 Old Newman Rd Ste 402
Frisco, TX 75036-8184

Phone

(972) 499-5551

Fax

(972) 499-9150

NPI assigned

Oct 4, 2017

Last updated

Mar 23, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Id CareGroup PAC ID 5890076459, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical City Plano Hospital, Plano, TX, CCN 450651

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Comprehensive Id Care

  • Internal Medicine Physician
  • Frisco, TX
  • NPI 1568919496
  Medicare reassignment Care Compare group NPD
• Amerihealth Consultant PLLC

  • Internal Medicine Physician
  • Frisco, TX
  • NPI 1457823718
  Medicare reassignment NPD
• Precise Personalized Care Hospice LLC

  • Community Based Hospice Care Agency
  • Carrollton, TX
  • NPI 1811404569
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Columbia Medical Center of Plano Subsidiary LP

  dba Medical City Plano

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1699726406
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1023528031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5570 FM 423 STE 250 PMB#177",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750368929",
            "telephone_number": "972-499-5551",
            "fax_number": "972-499-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 OLD NEWMAN RD STE 402",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750368184",
            "telephone_number": "972-499-5551",
            "fax_number": "972-499-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RENI",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-04",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madelyn Johnson
• Marcelina Annette Johnson, MPT
• Montavia Johnson
• Morgan Johnson, PT, DPT
• Quashay Johnson
• Shannon Lynne Johnson, L.P.C.
• Todd Erin Johnson, LCSW
• Veronica Johnson, CSFA
• Virginia Johnson, M.ED., LPC
• Wanda Johnson

• Family Nurse Practitioner in Frisco, TX
• Providers in Frisco, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.