Individual provider Active NPI

Sinobuhle Mangena Johnson, FNP

  • Family Nurse Practitioner
  • Chesapeake, VA
National Provider Identifier
1851833875
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024178618 Issued in VA
Practice address
603 Flume CT
Chesapeake, VA 23323-6373
Phone
(757) 448-5956
NPI assigned
Nov 8, 2016
Last updated
Jun 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024178618 VA Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

603 Flume CT
Chesapeake, VA 23323-6373

Mailing address

603 Flume CT
Chesapeake, VA 23323-6373
Phone (757) 408-0413

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC, NH, TX, NM5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20210601001485 VA Practitioner - Nurse Practitioner 9133528755 Reassigns benefits to 1 organization
I20210817002770 NC Practitioner - Nurse Practitioner 9133528755 Reassigns benefits to 1 organization
I20230710002185 NH Practitioner - Nurse Practitioner 9133528755
I20240402002445 TX Practitioner - Nurse Practitioner 9133528755 Reassigns benefits to 1 organization
I20250625003829 NM Practitioner - Nurse Practitioner 9133528755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hidalgo Medical ServicesGroup PAC ID 4587572250, 33 clinicians

Practice addresses (Care Compare)

1007 N Pope St
Silver City, NM 88061-5161
Phone (575) 388-1511

530 De Moss St
Lordsburg, NM 88045-2618
Phone (575) 542-8384

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.59 of 100Reported as group
Quality
47.51
Promoting interoperability
69
Improvement activities
40
Cost
86.96

Merit-based Incentive Payment System (MIPS)

Final score
89 of 100Reported as apm
Quality
73.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024178618VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Hospital-Laconia CurrentSince Jun 19, 2023 Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Feb 25, 2024 Accepting new patients
Telos Health Systems NC PLLC CurrentSince Jul 12, 2021 Accepting new patients
Hidalgo Medical Services Current Accepting new patients
Hidalgo Medical Services CurrentSince Jun 9, 2025 Accepting new patients
Weeks Medical Center Current Accepting new patients
Tuba City Regional Health Care Corporation Current Accepting new patients
Signify Health, LLC CurrentSince Mar 1, 2021 Accepting new patients
Hidalgo Medical Services CurrentSince Jun 9, 2025 Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Feb 25, 2024 Accepting new patients
Hidalgo Medical Services Past Accepting new patients
Hidalgo Medical Services Past Accepting new patients
Androscoggin Valley Hospital Inc Past Accepting new patients

Locations

38 Carters Rd
Gatesville, NC 27938
Phone (252) 357-2124

550 Glenwood Dr
Mooresville, NC 28115
Phone (704) 644-4797

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

14 Maple St
Ste 210
Gilford, NH 03249
Phone (603) 524-2073

173 Middle St
Lancaster, NH 03584
Phone (603) 788-4911

238 Daniel Webster Hwy
Meredith, NH 03253
Phone (603) 279-7464

1107 Tom Foy Blvd
Bayard, NM 88023

530 De Moss St
Lordsburg, NM 88045
Phone (575) 542-2368

532 De Moss St
Lordsburg, NM 88045

1000 N Hudson St
Silver City, NM 88061
Phone (505) 538-0486

1007 N Pope St
Silver City, NM 88061
Phone (575) 388-1511

114 W 11th St
Silver City, NM 88061
Phone (575) 388-1511

1318 E 32nd St
Silver City, NM 88061
Phone (505) 388-1913

3200 32nd Street Byp
Silver City, NM 88061
Phone (575) 597-2650

3200 N Silver St
Silver City, NM 88061
Phone (505) 534-1015

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823

Organizations & group practices 13

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.

View all 13

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": "1478563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1851833875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 FLUME CT",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233236373",
            "telephone_number": "757-408-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 FLUME CT",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233236373",
            "telephone_number": "757-448-5956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SINOBUHLE",
        "middle_name": "MANGENA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-08",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024178618",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.