Individual provider Active NPI

Meredith Johnson

  • Psychiatric/Mental Health Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1578286431
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
275571 Issued in AZ
Practice address
1500 N Priest Dr
Tempe, AZ 85288-1213
Phone
(833) 719-0886
NPI assigned
Sep 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 275571 AZ Primary

Addresses

Primary practice location

1500 N Priest Dr
Tempe, AZ 85288-1213

Mailing address

7777 E Main St Unit 310
Scottsdale, AZ 85251-4647

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221130002238 AZ Practitioner - Nurse Practitioner 8123496890 Reassigns benefits to 1 organization
I20260602001441 CO Practitioner - Nurse Practitioner 8123496890 Reassigns benefits to 1 organization

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
Health Group Providers LLCGroup PAC ID 9335430693, 24 clinicians
Colorado in-Home CounselingGroup PAC ID 7214296409, 40 clinicians

Practice addresses (Care Compare)

1500 N Priest Dr
Suite 109
Tempe, AZ 85288-1213
Phone (602) 734-5664

501 S Cherry St
Suite 820
Denver, CO 80246-1325
Phone (702) 589-4871

Merit-based Incentive Payment System (MIPS)

Final score
84.24 of 100Reported as group
Quality
71.1
Promoting interoperability
68
Improvement activities
40
Cost
69.7

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health Group Providers, LLC CurrentSince Oct 25, 2022 Accepting new patients
Colorado in-Home Counseling CurrentSince May 1, 2026 Accepting new patients

Locations

1500 N Priest Dr
Ste 109
Tempe, AZ 85288

501 S Cherry St
Ste 820
Denver, CO 80246
Phone (303) 884-9682

Interoperability endpoints

  • Direct secure messaging: meredith.johnson.1@24259.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1578286431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 E MAIN ST UNIT 310",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852514647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N PRIEST DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852881213",
            "telephone_number": "833-719-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MEREDITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2023-04-18",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "275571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.