Active NPI
Amy Nicole Johnson, CRNP
- Adult Health Nurse Practitioner
- Abingdon, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- R187858
- Practice address
- 100 Walter Ward Blvd Ste 100
Abingdon, MD 21009-1283 - Phone
- (443) 347-4700
- Fax
- (443) 643-4707
- NPI assigned
- Jan 20, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | R187858 | MD | Primary |
Addresses
Primary practice location
100 Walter Ward Blvd Ste 100
Abingdon, MD 21009-1283
Mailing address
4010 Silvage Rd
Nottingham, MD 21236-1035
Phone (443) 553-0597
Other practice location 1
251 Lewis Ln Ste 105
Havre DE Grace, MD 21078-3752
Phone (443) 347-4700
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | harfordgastro@directaddress.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Walter Ward Blvd
Suite 100
Abingdon, MD 21009-1283
Phone (443) 483-3022
Hospital & facility affiliations
- Umd Upper Chesapeake Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.34 of 100
- Quality
- 67.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R187858 | MD | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Harford Gastroenterology Associates PA | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Harford Gastroenterology Associates PA | Current | Accepting new patients |
Locations
100 Walter Ward Blvd
Ste 100
Abingdon, MD 21009
Phone (443) 347-4700
3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200
1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440
1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440
251 Lewis Ln
Ste 105
Havre de Grace, MD 21078
Phone (410) 939-5082
9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000
Organizations & group practices 4
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.
-
- Gastroenterology Physician
- Abingdon, MD
- NPI 1356303853
-
- General Practice Physician
- Baltimore, MD
- NPI 1184046187
-
- Gastroenterology Physician
- Havre de Grace, MD
- NPI 1942021852
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bel Air, MD
- NPI 1598761355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781222400000",
"number": "1790375111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4010 SILVAGE RD",
"city": "NOTTINGHAM",
"state": "MD",
"postal_code": "212361035",
"telephone_number": "443-553-0597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WALTER WARD BLVD STE 100",
"city": "ABINGDON",
"state": "MD",
"postal_code": "210091283",
"telephone_number": "443-347-4700",
"fax_number": "443-643-4707"
}
],
"practiceLocations": [
{
"address_1": "251 Lewis Ln Ste 105",
"address_purpose": "LOCATION",
"city": "Havre DE Grace",
"state": "MD",
"postal_code": "210783752",
"country_code": "US",
"telephone_number": "443-347-4700",
"fax_number": "443-643-4707",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "AMY",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-20",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MD",
"license": "R187858",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "harfordgastro@directaddress.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "100 Walter Ward Blvd Ste 100",
"city": "Abingdon",
"state": "MD",
"country_code": "US",
"postal_code": "210091283",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Abingdon, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.