Dirk A Johns, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9434 Issued in CT

Practice address

10 Brookside Dr
Longmeadow, MA 01106-2318

Phone

(413) 531-7078

Fax

(413) 531-7078

NPI assigned

Mar 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• New England Pain Institute LLC

  • Family Nurse Practitioner
  • Glastonbury, CT
  • NPI 1609459858
  Medicare reassignment NPD
• Bay State Spine & Pain Center LLC

  • Pain Medicine (Anesthesiology) Physician
  • Milford, MA
  • NPI 1427330950
  NPD (past) Authorized official
• Johns Chiropractic, LLC

  • Chiropractor
  • Milford, MA
  • NPI 1750684031
  NPD (past)
• Chiropractic Family Health Center of Manchester,LLC

  • Chiropractor
  • Manchester, CT
  • NPI 1255477220
  NPD (past)
• Kusher Functional Medicine Center PC

  • Clinic/Center
  • Glastonbury, CT
  • NPI 1083229165
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1407984669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BROOKSIDE DR",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011062318",
            "telephone_number": "508-795-1555",
            "fax_number": "508-755-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BROOKSIDE DR",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011062318",
            "telephone_number": "413-531-7078",
            "fax_number": "413-531-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNS",
        "first_name": "DIRK",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2021-05-27",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "9434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1600371",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y39849",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Other",
            "affiliation": "N",
            "endpointDescription": "Other",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "10 Brookside Dr",
            "city": "Longmeadow",
            "state": "MA",
            "country_code": "US",
            "postal_code": "011062318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pamela Jenner Jeppson, PA-C
• Jewish Nursing Home of Western Mass., Inc. (Wernick Adult Day Health Care Center)
• Jewish Nursing Home of Western Mass., Inc.
• JGS Administrative Services Incorporation (JGS Family Medical Care)
• JGS Housing Services, Inc. (Ruth's House Assisted Living)
• Grace Caroline Johnson
• Melissa A Johnson, MD
• Zelmon Marie Johnson
• Samy Joseph
• Aneesha Joshy

• Family Nurse Practitioner in Longmeadow, MA
• Providers in Longmeadow, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.