Individual provider Active NPI

Tasha Johnson, MSN, CRNP FNP-BC

  • Family Nurse Practitioner
  • Chestertown, MD
National Provider Identifier
1043034697
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R229253 Issued in MD
Practice address
7416 Church Hill Rd
Chestertown, MD 21620-2808
Phone
(410) 498-4848
NPI assigned
Nov 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R229253 MD
Family Nurse Practitioner 363LF0000X R229253 MD Primary

Addresses

Primary practice location

7416 Church Hill Rd
Chestertown, MD 21620-2808

Mailing address

7416 Church Hill Rd Ste 2
Chestertown, MD 21620-2808
Phone (419) 758-2178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20250220002021 MD Practitioner - Nurse Practitioner 9133649114 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
H2 Rehabilitation Extension Services LLCGroup PAC ID 6406131622, shared by 5 NPIs, 161 clinicians
Umms Ambulatory Care LLCGroup PAC ID 8426461427, 53 clinicians
Eastern Shore Primary Care Practice LLCGroup PAC ID 5698120111, 4 clinicians

Practice addresses (Care Compare)

137 Montgomery Ave
Suite 205
Boyertown, PA 19512-1300
Phone (484) 658-3150

1730 Merritt Blvd
Dundalk, MD 21222-3212
Phone (410) 650-4730

7416 Church Hill Rd
Suite 2
Chestertown, MD 21620-2808
Phone (410) 758-2175

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Umms Ambulatory Care LLC Current Accepting new patients
Umms Ambulatory Care LLC CurrentSince Jan 1, 2025 Accepting new patients
Eastern Shore Urgent Care LLC Family CurrentSince Jan 27, 2025 Accepting new patients
Umms Ambulatory Care LLC CurrentSince Jan 1, 2025 Accepting new patients
Eastern Shore Primary Care Practice LLC CurrentSince Jan 27, 2025 Accepting new patients

Locations

7416 Church Hill Rd
Ste 2
Chestertown, MD 21620
Phone (410) 498-4848

7416 Church Hill Rd
Chestertown, MD 21620
Phone (410) 498-4848

8 Denton Plz
Denton, MD 21629
Phone (443) 606-2300

1730 Merritt Blvd
Dundalk, MD 21222
Phone (410) 282-2756

28522 Marlboro Ave
#C
Easton, MD 21601
Phone (443) 746-0086

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

Interoperability endpoints

  • Direct secure messaging: tjohnson541967@direct.umm.edu
  • Direct secure messaging: tasha.johnson.1@29780.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1043034697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7416 CHURCH HILL RD STE 2",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216202808",
            "telephone_number": "419-758-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7416 CHURCH HILL RD",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216202808",
            "telephone_number": "410-498-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TASHA",
        "name_prefix": "Mrs.",
        "credential": "MSN, CRNP FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-11",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R229253",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R229253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestertown, MD

Sources for this page

Verify at the official NPI Registry.