Individual provider Active NPI

Annmarie Johnson

  • Family Nurse Practitioner
  • Richboro, PA
National Provider Identifier
1992245617
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP017159 Issued in PA
Practice address
1034 2ND Street Pike
Richboro, PA 18954-1863
Phone
(215) 322-4060
NPI assigned
Feb 28, 2017
Last updated
Mar 7, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP017159 PA Primary

Addresses

Primary practice location

1034 2ND Street Pike
Richboro, PA 18954-1863

Mailing address

2246 Logan Cir
Bensalem, PA 19020-3671
Phone (215) 292-5789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20170522001017 PA Practitioner - Nurse Practitioner 3870860901 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
Hypertension Nephrology Associates PCGroup PAC ID 6103809967, 17 clinicians

Practice addresses (Care Compare)

735 Fitzwatertown Rd
Suite 1
Willow Grove, PA 19090-1338
Phone (215) 657-2012

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hypertension Nephrology Associates, PC CurrentSince Apr 1, 2023 Accepting new patients

Locations

735 Fitzwatertown Rd
Willow Grove, PA 19090
Phone (215) 657-2012

735 Fitzwatertown Rd
Ste 1
Willow Grove, PA 19090
Phone (215) 657-2012

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1992245617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2246 LOGAN CIR",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190203671",
            "telephone_number": "215-292-5789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 2ND STREET PIKE",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "189541863",
            "telephone_number": "215-322-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANNMARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP017159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richboro, PA

Sources for this page

Verify at the official NPI Registry.