Amanda-grace Johnson, DNP - Medicare Nurse Practitioner in Boulder City, NV

Amanda-grace Johnson, DNP is a medicare enrolled "Nurse Practitioner - Family" in Boulder City, Nevada. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Intermountain Medical Holdings Nevada Inc and her current practice location is 1297 Boulder City Pkwy Ste A, Boulder City, Nevada. You can reach out to her office (for appointments etc.) via phone at (702) 294-1919.

Amanda-grace Johnson is licensed to practice in Nevada (license number 816524) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790385136.

Contact Information

Amanda-grace Johnson, DNP
1297 Boulder City Pkwy Ste A,
Boulder City, NV 89005-1854
(702) 294-1919
(702) 294-0072



Provider's Profile

Full NameAmanda-grace Johnson
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location1297 Boulder City Pkwy Ste A, Boulder City, Nevada
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Amanda-grace Johnson graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1790385136
  • Provider Enumeration Date: 10/26/2020
  • Last Update Date: 10/18/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1658775168
  • Enrollment ID: I20210805001705

Medical Identifiers

Medical identifiers for Amanda-grace Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790385136NPI-NPPES
1790385136MedicaidNV
816524OtherNVSTATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 816524 (Nevada)Secondary
363LF0000XNurse Practitioner - Family 816524 (Nevada)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Boulder City HospitalBoulder city, NVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Intermountain Medical Holdings Nevada Inc7416054622286

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amanda-grace Johnson allows following entities to bill medicare on her behalf.
Entity NameHealthcare Partners Medical Group Coats Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487631917
PECOS PAC ID: 5991866303
Enrollment ID: O20100113000898

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Entity NameIntermountain Medical Holdings Nevada Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245997279
PECOS PAC ID: 7416054622
Enrollment ID: O20220214001765

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda-grace Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Amanda-grace Johnson, DNP
6355 S Buffalo Dr Fl 3,
Las Vegas, NV 89113-2133

Ph: (702) 216-3346
Amanda-grace Johnson, DNP
1297 Boulder City Pkwy Ste A,
Boulder City, NV 89005-1854

Ph: (702) 294-1919

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Nurse Practitioner Nurses in Boulder City, NV

Angelique J. Cross, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 999 Adams Blvd Ste 104-105, Boulder City, NV 89005
Phone: 702-698-8342    
Felicia Nicole Tracy, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 668 Otono Dr, Boulder City, NV 89005
Phone: 951-401-7481    
Maureen Blomquist, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 999 Adams Blvd Ste 104-105, Boulder City, NV 89005
Phone: 702-698-8342    Fax: 702-293-2807
Casey Elizabeth Bunker, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 895 Adams Blvd, Boulder City, NV 89005
Phone: 702-293-0406    Fax: 702-293-0192
Allison Palmer, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 901 Adams Blvd, Boulder City, NV 89005
Phone: 801-815-1451    
Jose M Moran, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1252 Wyoming St, Boulder City, NV 89005
Phone: 702-293-4488    
Melissa Hart,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 901 Adams Blvd, Boulder City, NV 89005
Phone: 702-698-8342    

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