Alexandria Danielle Johnson, FNP
Individual provider Active NPI Family Nurse Practitioner · Salem, WV
NPI 1114351202 · NPPES record last updated Sep 2, 2023
Key facts
- NPI
- 1114351202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN80021NP (WV)
- Practice address
- 2373 W. Main St.
Suite 102
Salem, WV 26426 - Phone
- (304) 782-2000
- Fax
- (304) 782-3102
- NPI assigned
- Aug 26, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- United Physicians Care Inc
Practice addresses (Care Compare)
2373 W Main St
Suite 102
Salem, WV 26426-7515
Phone (304) 782-2000
Hospital & facility affiliations
- Wvuhs Home Care
- United Hospital Center, Inc
- West Virginia University Hospitals, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140515001167 | WV | Practitioner - Nurse Practitioner | 2860615077 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN80021NP | WV | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Physicians Care Inc | Current |
Accepting new patients | |
| Recover Together, Inc. | Family | Current |
Accepting new patients |
| United Physicians Care Inc | Current |
Accepting new patients |
Locations
111 S Bedford St
Ste 205
Burlington, MA 01803
Phone (512) 439-3547
327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000
626 Elk St
Gassaway, WV 26624
Phone (304) 364-2401
4421 Emerson Ave
Ste 205
Parkersburg, WV 26104
Phone (304) 693-6096
2373 W Main St
Ste 102
Salem, WV 26426
Phone (304) 782-2000
Interoperability endpoints
- ajohnson6196@direct.wvuhsdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN80021NP | WV | Yes |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN80021NP | WV |
Addresses
Primary practice location
2373 W. Main St.
Suite 102
Salem, WV 26426
Mailing address
PO Box 392
Salem, WV 26426-0392
Phone (304) 782-2000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APRN80021NP | Other | WV | LICENSE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ajohnson6196@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | ajohnson6196@direct.wvuhsdirect.com | Health Information Exchange (HIE) |
Other providers in Salem, WV
- Heather Dawn Housel
- Shawney Husk
- Zachary Husk
- Megan Hutson
- Roadann Jewell
- Belinda Johnson
- Brandi N Johnson
- Mary Johnson
- Joseph Audia, OD
- Ashley Dawn Kimble
All providers in Salem, WV · Family Nurse Practitioner in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.