Individual provider Active NPI

Danielle Bergdahl Johnson, FNP-BC

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1427774249
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1096620 Issued in TX
Practice address
16219 Ranch Road 620 N
Austin, TX 78717-5209
Phone
(512) 520-1834
NPI assigned
Oct 13, 2022
Last updated
Oct 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1096620 TX Primary

Addresses

Primary practice location

16219 Ranch Road 620 N
Austin, TX 78717-5209

Mailing address

10016 Epic Knoll Dr
Austin, TX 78747-4041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20221028000064 TX Practitioner - Nurse Practitioner 0941677306 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health Medical Group LLCGroup PAC ID 9133304603, 132 clinicians
CH Specialty Services TX PLLCGroup PAC ID 6507173291, 103 clinicians
Inpatient Medicine Physicians PAGroup PAC ID 7911009055, 16 clinicians

Practice addresses (Care Compare)

1373 N Ave C
Elgin, TX 78621-1528
Phone (512) 730-3053

2802 Flintrock Trce
Suite 201
Austin, TX 78738-1744
Phone (337) 991-9276

29924 FM
Suite 3009
New Braunfels, TX 78132-2637
Phone (830) 620-0330

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1096620TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health Medical Group LLC CurrentSince Oct 24, 2022 Accepting new patients
CH Specialty Services TX PLLC Family CurrentSince Jun 7, 2023 Accepting new patients

Locations

1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803

16219 Ranch Road 620 N
Austin, TX 78717
Phone (512) 520-1834

2802 Flintrock Trce
Ste 201
Austin, TX 78738
Phone (512) 407-2606

8911 N Capital of Texas Hwy
Ste 1110
Austin, TX 78759
Phone (515) 238-2826

1373 N Avenue C
Elgin, TX 78621
Phone (512) 285-2457

1007 S Washington Ave
Marshall, TX 75670
Phone 3379919276261

9903 Hunters Pond
San Antonio, TX 78224
Phone (210) 477-2200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1427774249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10016 EPIC KNOLL DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787474041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16219 RANCH ROAD 620 N",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787175209",
            "telephone_number": "512-520-1834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DANIELLE",
        "middle_name": "BERGDAHL",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1096620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.