Jane Johnson

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5004760 Issued in NC

Practice address

630 McCarthy Blvd
New Bern, NC 28562-5231

Phone

(252) 634-6070

NPI assigned

Jun 10, 2015

Sex

Female

Sole proprietor

No

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 NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Carolinaeast Medical Center

  • Certified Registered Nurse Anesthetist
  • New Bern, NC
  • NPI 1710923875
  Medicare reassignment NPD
• Carolinaeast Medical Center

  • Prosthetic/Orthotic Supplier
  • New Bern, NC
  • NPI 1427084680
  NPD
• Carolinaeast Medical Center

  • Primary Care Clinic/Center
  • Vanceboro, NC
  • NPI 1164476834
  NPD (past)

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1043691579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 MCCARTHY BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 MCCARTHY BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625231",
            "telephone_number": "252-634-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-10",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5004760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Jane Johnson, PA-C
• Anbria Johnson, BCBA
• Ashley D Johnson, CCC-SLP
• Cindy Johnson
• Claudia Johnson
• Katharine Johnson, MA, LCMHCA, NCC
• Kristina Johnson, LCSWA
• Mark Winton Johnson, DDS
• Sharmaine Johnson
• Susannah E Johnson, MD

• Nurse Practitioner in New Bern, NC
• Providers in New Bern, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.