Individual provider Active NPI

Devonna Anne Johnson, FNP-C

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1588736938
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R45687 Issued in NM
Practice address
926 Main St
Nashville, TN 37206-3614
Phone
(844) 660-1069
Fax
(615) 235-9725
NPI assigned
Nov 14, 2006
Last updated
Nov 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R45687 NM
Family Nurse Practitioner 363LF0000X R45687 NM Primary
Primary Care Nurse Practitioner 363LP2300X R45687 NM

Addresses

Primary practice location

926 Main St
Nashville, TN 37206-3614

Mailing address

PO Box 781
Pie Town, NM 87827-0781
Phone (204) 881-7565

Other practice location 1

110 Solano Rd
Pie Town, NM 87827-8782
Phone (520) 488-1756

Other identifiers 1

IdentifierTypeStateIssuer
221096MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Kareo Health Information Exchange (HIE) RIP & SNORT HEALTHCARE, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, AZ, AK3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20070227000025 NM Practitioner - Nurse Practitioner 7911009659 Reassigns benefits to 1 organization
I20070809000758 AZ Practitioner - Nurse Practitioner 7911009659 Reassigns benefits to 1 organization
I20251223004323 AK Practitioner - Nurse Practitioner 7911009659 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1000 Greg Kruschek Ave
Nome, AK 99762

PO Box
Suite 966
Nome, AK 99762-0966

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.43 of 100Reported as group
Quality
69.26
Promoting interoperability
99
Improvement activities
40
Cost
79.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R45687NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Sound Health Corporation CurrentSince Oct 6, 2025 Accepting new patients
Norton Sound Health Corporation CurrentSince Oct 6, 2025 Accepting new patients
Norton Sound Health Corporation CurrentSince Oct 6, 2025 Accepting new patients
Cura Healthcare Family CurrentSince Mar 20, 2024 Accepting new patients
Greater Phoenix Collaborative Care PC Past Accepting new patients
Greater Phoenix Collaborative Care PC Past Accepting new patients
Pecos Valley of New Mexico, LLC Past Accepting new patients

Locations

8226 Menaul Blvd NE
Albuquerque, NM 87110
Phone (505) 413-3719

7683 SE 27th St
Mercer Island, WA 98040
Phone (206) 228-8530

Organizations & group practices 8

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 1

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1588736938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781",
            "city": "PIE TOWN",
            "state": "NM",
            "postal_code": "878270781",
            "telephone_number": "204-881-7565",
            "fax_number": "888-614-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 MAIN ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372063614",
            "telephone_number": "844-660-1069",
            "fax_number": "615-235-9725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Solano Rd",
            "address_purpose": "LOCATION",
            "city": "Pie Town",
            "state": "NM",
            "postal_code": "878278782",
            "country_code": "US",
            "telephone_number": "520-488-1756",
            "fax_number": "888-614-3881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DEVONNA",
        "middle_name": "ANNE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "R45687",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "R45687",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NM",
            "license": "R45687",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "221096",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Kareo",
            "affiliation": "Y",
            "endpointDescription": "EMR",
            "affiliationName": "RIP & SNORT HEALTHCARE, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5603 US HWY 60/CLINIC",
            "city": "Pie Town",
            "state": "NM",
            "country_code": "US",
            "postal_code": "878278782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.