Roberta Johnson

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN278413 Issued in MA

Practice address

10 Veterans Memorial Dr
Milford, MA 01757-2900

Phone

(508) 473-6414

NPI assigned

Nov 18, 2022

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 MA

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ma SNF Physicians PLLCGroup PAC ID 2163903071, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IGFCDD

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.

• Ma SNF Physicians PLLC

  • Internal Medicine Physician
  • Fall River, MA
  • NPI 1932079191
  Medicare reassignment Care Compare group NPD
• Ma SNF on Call PLLC

  • Internal Medicine Physician
  • Fall River, MA
  • NPI 1629938790
  Medicare reassignment NPD
• Worcester Internal Medicine, Inc.

  • Internal Medicine Physician
  • Worcester, MA
  • NPI 1063565422
  Medicare reassignment NPD

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

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1558070466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JOHNATHAN PASS",
            "city": "DUDLEY",
            "state": "MA",
            "postal_code": "015716068",
            "telephone_number": "508-341-9166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 VETERANS MEMORIAL DR",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017572900",
            "telephone_number": "508-473-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROBERTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-18",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN278413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey R Johnson
• Kellie Johnson
• Laura Jean Johnson
• Margaret WC Johnson, LICSW
• Reniqua Lynette Johnson
• Russel Johnson
• Summer Johnson, LICSW CAADC
• Theodora Johnson
• Ross Alan Johnston
• Sarah Gabrielle Jolicoeur

• Nurse Practitioner in Milford, MA
• Providers in Milford, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.