Olivia Nicole Johnson, BSN, RN
Individual provider Active NPI Nurse Practitioner · Douglas, AZ
NPI 1992473748 · NPPES record last updated Jan 22, 2026
Key facts
- NPI
- 1992473748
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 231513 (AZ)
- Practice address
- 1100 N F Ave
Douglas, AZ 85607-1919 - Phone
- (520) 364-3285
- Fax
- (520) 364-3378
- NPI assigned
- Sep 4, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Arizona College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Chiricahua Community Health Centers Inc
Practice addresses (Care Compare)
1100 N F Ave
Douglas, AZ 85607-1919
Phone (502) 364-3285
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251017001525 | AZ | Practitioner - Nurse Practitioner | 4880181213 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Bachelor on Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95256334 | CA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiricahua Community Health Centers, Inc | Current | Accepting new patients | |
| Chiricahua Community Health Centers, Inc. | Current |
Accepting new patients | |
| Chiricahua Community Health Centers, Inc | Current |
Accepting new patients | |
| University of Arizona Nursing and Health Associates | Past |
Accepting new patients | |
| Chiricahua Community Health Centers, Inc | Past | Accepting new patients |
Locations
335 S Ocotillo St
Benson, AZ 85602
Phone (520) 326-4811
108 Arizona St
Bisbee, AZ 85603
Phone (520) 432-3309
310 Arizona St
Bisbee, AZ 85603
Phone (520) 432-1145
1100 N F Ave
Douglas, AZ 85607
Phone (520) 364-3285
815 E 15th St
Douglas, AZ 85607
Phone (520) 364-5437
1111 N F Ave
Douglas, AZ 85607
Phone (520) 364-6860
1151 E 16th St
Douglas, AZ 85607
Phone (520) 364-5437
1205 N F Ave
Douglas, AZ 85607
Phone (520) 364-6852
10566 N Highway 191
Elfrida, AZ 85610
Phone (520) 642-2222
155 Calle Portal
Ste 300
Sierra Vista, AZ 85635
Phone (520) 458-6331
155 Calle Portal
Ste 700
Sierra Vista, AZ 85635
Phone (520) 459-0203
4755 Campus Dr
Sierra Vista, AZ 85635
Phone (520) 226-3020
77 Calle Portal
Ste A140
Sierra Vista, AZ 85635
Phone (520) 515-8669
Interoperability endpoints
- olivia.johnson.p1@direct.cchci.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 231513 | AZ | Yes |
| Registered Nurse | 163W00000X | 231513 | AZ | |
| Registered Nurse | 163W00000X | 95256334 | CA |
Addresses
Primary practice location
1100 N F Ave
Douglas, AZ 85607-1919
Mailing address
1205 N F Ave
Douglas, AZ 85607-1920
Phone (520) 364-1429
Other providers in Douglas, AZ
- Infinia at Douglas
- Ximena Rodriguez Iniguez
- Lamar Richard Innes
- Brenda Kay James
- Jays Chiropractic PC
- Anita Allene Jones
- Juanita'S Transport, LLC
- Jamie Kearney
- Kia Behavioral Health, LLC
- Deborah Judith Kinder
All providers in Douglas, AZ · Nurse Practitioner in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.