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Active NPI 1063277465 Individual Practitioner Male Practitioner

Peter Johnson

Nurse Practitioner • Boston, MA

Professional Overview & Biography Verified Profile Summary

Peter Johnson is a registered healthcare professional specializing in Nurse Practitioner in Boston, MA. Practice services are available at 1340 BOYLSTON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1340 Boylston St

Boston, MA 022154302

Telephone 6172670900
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Boston, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.2 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
972 Specialists

Practicing in Boston, MA (3545 Statewide)

Telehealth Adoption Rate
24.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-27
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MA RN2354716

(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.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License MA RN2354716

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Secondary Practice Locations

269 Union St

Lynn, MA 019011314

Phone: 7815962502

Practice Associates & Co-Workers

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

40 Associated Practitioners
Cindy Blank-Edelman , LMHC

Counselor - Mental Health

NPI 1003986464

Licensed Mental Health Counselor

Dr. David Buckle , MD

Family Medicine

NPI 1013905108

Doctor of Medicine (M.D.)

NPI 1023818804

Doctor of Dental Surgery

Margo Grossberg

Social Worker - Clinical

NPI 1033758495
Sarah Richards , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1043984370

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Elizabeth Coscia , LICSW

Social Worker - Clinical

NPI 1063234920

Licensed Independent Clinical Social Worker

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location July 27, 2026

Registered at 1340 BOYLSTON ST, BOSTON, MA 022154302 (Tel: 6172670900)

NPI Profile Active February 15, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location February 15, 2024

Registered at 269 UNION ST, LYNN, MA 019011314 (Tel: 7815962502)

📍
Updated Business Mailing Address February 15, 2024

Registered at 124 OCEAN AVE APT 307, SALEM, MA 019702990 (Tel: 5083171944)

👤
Provider Name / Credentials Updated February 15, 2024

Recorded as PETER JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2024

Registered Nurse (License #RN2354716 in MA)

🟢
Initial NPI Registration & Enumeration February 15, 2024

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: 1063277465
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 15, 2024
Last Update: July 27, 2026
Sole Proprietor: No

Mailing Address

124 Ocean Ave Apt 307

Salem, MA 019702990

Phone: 5083171944

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.