Jennifer Nichole Johnson, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11010025 Issued in FL

Practice address

43 Avenue J SW
Moore Haven, FL 33471-2116

Phone

(863) 599-1620

NPI assigned

Nov 17, 2020

Last updated

Aug 31, 2022By the provider in NPPES

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 FL

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Preferred Care Home Health Services Home health agency, Fort Myers, FL, CCN 109423
• Hendry Regional Medical Center Hospital, Clewiston, FL, CCN 101309
• HCA Florida Raulerson Hospital Hospital, Okeechobee, FL, CCN 100252

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: jennifer.johnson@jrfp-fl.direct.office.nextgen.com

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.

• Johnson Riverside Family Practice LLC

  • Family Medicine Physician
  • Moore Haven, FL
  • NPI 1295409423
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hendry County Hospital Authority

  dba Hendry Regional Medical Center

  • Critical Access Hospital
  • Clewiston, FL
  • NPI 1215960315
  Care Compare affiliation
• Okeechobee Hospital, Inc.

  dba HCA Florida Raulerson Hospital

  • General Acute Care Hospital
  • Okeechobee, FL
  • NPI 1215974134
  Care Compare affiliation
• Providia Home Care LLC.

  dba Preferred Care Home Health Services

  • Home Health Agency
  • Fort Myers, FL
  • NPI 1245409010
  Care Compare affiliation

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1821691544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 AVENUE J SW",
            "city": "MOORE HAVEN",
            "state": "FL",
            "postal_code": "334712116",
            "telephone_number": "863-946-0284",
            "fax_number": "863-946-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 AVENUE J SW",
            "city": "MOORE HAVEN",
            "state": "FL",
            "postal_code": "334712116",
            "telephone_number": "863-599-1620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3779 Wayman Rd",
            "address_purpose": "LOCATION",
            "city": "Moore Haven",
            "state": "FL",
            "postal_code": "334715526",
            "country_code": "US",
            "telephone_number": "863-599-1620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JENNIFER",
        "middle_name": "NICHOLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-17",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11010025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Eduardo Hernandez, NURSE PRACTITIONER
• Kristen L Horn, M.ED, RBT
• Lyonel A. Jean-Baptiste, M.D.
• Harry Jean, FNP-BC
• Johnson Riverside Family Practice LLC
• Juslain Jonathas
• Emmanuel Noel, M.D.
• Orchid Medical Group LLC
• Eric Palacios, DDS
• Laura Marie Perry, MA, CCC-SLP

• Family Nurse Practitioner in Moore Haven, FL
• Providers in Moore Haven, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.