Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477704567 Individual Practitioner Female Practitioner

Charlene E Johnson , NP

Nurse Practitioner • Tampa, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Charlene Johnson, NP is a certified Nurse Practitioner practicing in Tampa, FL. With approximately 18 years of clinical experience since completing medical education in 2008, Charlene Johnson delivers high-quality medical care to the local community at 4202 E FOWLER AVE.

Charlene Johnson is affiliated with University Medical Service Association Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

4202 E Fowler Ave
Shs100

Tampa, FL 336206750

Telephone 8139742331
Associated Practice Facility / Clinic
🏢 University Of South Florida Facility NPI 1578601654

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Tampa, FL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
18 Yrs +8.7 yrs vs City Avg
City Avg: 9.3 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
832 Specialists

Practicing in Tampa, FL (8990 Statewide)

Telehealth Adoption Rate
18.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (18 Years) 18 Yrs
Tampa Specialty Average (9.3 Years) 9.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-01-04
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL APRN9446144

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
020086200 (FL)
Commercial Insurance / Payer ID Blue Cross Blue Shield
K1VR4 (FL)

Hospital & Practice Group Affiliations

University Medical Service Association Inc

4202 E Fowler Ave, Tampa, FL 336206750

Phone: 8139742331

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

28 Associated Practitioners
Dr. Hui Lee , MD

Preventive Medicine - Public Health & General Preventive Medicine

NPI 1033317672

Doctor of Medicine (M.D.)

Dr. Jospeh Puccio , MD

Pediatrics - Adolescent Medicine

NPI 1053353037

Doctor of Medicine (M.D.)

Dr. Teresa Dowdy , MD

Internal Medicine

NPI 1104088053

Doctor of Medicine (M.D.)

Katie Webster , RD

Dietitian, Registered

NPI 1114250545

Registered Dietitian

James Steele , ARNP

Nurse Practitioner

NPI 1174566822

Advanced Registered Nurse Practitioner

Emily Gardyasz , LAT, ATC

Specialist/Technologist - Athletic Trainer

NPI 1184107393

Licensed Athletic Trainer, Certified Athletic Trainer

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2024

Nurse Practitioner (License #APRN9446144 in FL)

📍
Updated Business Mailing Address October 29, 2020

Registered at PO BOX 917770, ORLANDO, FL 328910001 (Tel: 8139742201)

NPI Profile Active April 14, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address April 14, 2017

Registered at PO BOX 917770, ORLANDO, FL 328917770

📍
Updated Practice Location April 14, 2017

Registered at 4202 E FOWLER AVE, SHS100, TAMPA, FL 336206750 (Tel: 8139742331)

👤
Provider Name / Credentials Updated April 14, 2017

Recorded as CHARLENE JOHNSON, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2017

Nurse Practitioner (License #1930 in LA)

📍
Updated Practice Location February 21, 2017

Registered at 4202 E FOWLER AVE, SHS100, TAMPA, FL 336206750 (Tel: 8139742331)

📍
Updated Business Mailing Address February 21, 2017

Registered at PO BOX 917770, ORLANDO, FL 328917770

NPI Profile Active October 07, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location October 07, 2008

Registered at 2845 MANHATTAN BLVD, HARVEY, LA 700582987 (Tel: 5043496930)

📍
Updated Business Mailing Address October 07, 2008

Registered at 2845 MANHATTAN BLVD, HARVEY, LA 700582987 (Tel: 5043496930)

👤
Provider Name / Credentials Updated October 07, 2008

Recorded as CHARLENE JOHNSON, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2008

Nurse Practitioner (License #1930 in LA)

🟢
Initial NPI Registration & Enumeration October 07, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477704567
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 07, 2008
Last Update: January 04, 2024
Sole Proprietor: No

Mailing Address

Po Box 917770

Orlando, FL 328910001

Phone: 8139742201

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.