NPIMap

Individual provider Active NPI

Dana D Johnson, NP

  • Nurse Practitioner
  • Moberly, MO
National Provider Identifier
1285280404
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2015000816 Issued in MO
Practice address
1501 Union Ave Ste a&B
Moberly, MO 65270-9469
Phone
(660) 263-9095
Fax
(660) 263-0054
NPI assigned
Aug 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2015000816 MO Primary

Addresses

Primary practice location

1501 Union Ave Ste a&B
Moberly, MO 65270-9469

Mailing address

1501 Union Ave Ste a&B
Moberly, MO 65270-9469
Phone (660) 263-9095

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dana.johnson.1@2622.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191025000487 MO Practitioner - Nurse Practitioner 5294067161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moberly Hospital Company LLC 10 clinicians

Practice addresses (Care Compare)

1501 Union Ave
Moberly, MO 65270-9469

1515 Union Ave
Moberly, MO 65270-9407
Phone (660) 263-8400

Hospital & facility affiliations

  • Elara Caring Home health agency, Jefferson City, MO, CCN 267600
  • Moberly Regional Medical Center Hospital, Moberly, MO, CCN 260074
  • Boone Hospital Center Hospital, Columbia, MO, CCN 260068
  • University of Missouri Health Care Hospital, Columbia, MO, CCN 260141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2015000816MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Moberly Hospital Company LLC CurrentSince Oct 14, 2019 Accepting new patients
Moberly Hospital Company LLC Current Accepting new patients
Moberly Hospital Company LLC CurrentSince Oct 14, 2019 Accepting new patients
Moberly Hospital Company LLC Past Accepting new patients

Locations

1501 Union Ave
Ste Ab
Moberly, MO 65270
Phone (660) 263-5556

1501 Union Ave
Moberly, MO 65270
Phone (660) 263-4770

1515 Union Ave
Moberly, MO 65270
Phone (660) 263-2400

Interoperability endpoints

  • Direct secure messaging: dana.johnson.1@2622.direct.athenahealth.com

Organizations & group practices 7

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 6

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": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1285280404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 UNION AVE STE A&B",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652709469",
            "telephone_number": "660-263-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 UNION AVE STE A&B",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652709469",
            "telephone_number": "660-263-9095",
            "fax_number": "660-263-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DANA",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-13",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2015000816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dana.johnson.1@2622.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "1501 Union Ave Ste A&b",
            "city": "Moberly",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652709469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moberly, MO

Sources for this page

Verify at the official NPI Registry.