Individual provider Active NPI

Jocelyn O Johnson, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Amherst, MA
National Provider Identifier
1033137237
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
187677-PC Issued in MA
Practice address
96 N Pleasant St
Suite 302B
Amherst, MA 01002-1717
Phone
(413) 253-2553
Fax
(413) 253-2544
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 187677-PC MA Primary

Addresses

Primary practice location

96 N Pleasant St
Suite 302B
Amherst, MA 01002-1717

Mailing address

96 N Pleasant St
Suite 302B
Amherst, MA 01002-1717
Phone (413) 253-2553

Other identifiers 1

IdentifierTypeStateIssuer
1858734MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20050831000838 MA Practitioner - Certified Clinical Nurse Specialist (CNS) 4688606460 Practice locations: Hadley, MA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
187677-PCMAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Psychiatric Associates, LLC Past Accepting new patients
Valley Optimal Health, PC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033137237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 N PLEASANT ST",
            "address_2": "SUITE 302B",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010021717",
            "telephone_number": "413-253-2553",
            "fax_number": "413-253-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 N PLEASANT ST",
            "address_2": "SUITE 302B",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010021717",
            "telephone_number": "413-253-2553",
            "fax_number": "413-253-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JOCELYN",
        "middle_name": "O",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "187677-PC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1858734",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, MA

Sources for this page

Verify at the official NPI Registry.