Active NPI 1740201458 Individual Practitioner Female Practitioner

Sandrivette Johnson , FNP-C

Nurse Practitioner • Raleigh, NC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Sandrivette Johnson, FNP-C is a certified Nurse Practitioner practicing in Raleigh, NC. With approximately 24 years of clinical experience since completing medical education in 2002, Sandrivette Johnson delivers high-quality medical care to the local community at 5904 SIX FORKS RD STE 211.

Sandrivette Johnson is affiliated with Midtown Dermatology, Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5904 Six Forks Rd Ste 211

Raleigh, NC 276098228

Telephone 9842420510

Fax 9842420520

Associated Practice Facility / Clinic

🏢 Midtown Dermatology, Pc Facility NPI 1205242252

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Raleigh, NC

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +14.4 yrs vs City Avg

City Avg: 9.6 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

193 Specialists

Practicing in Raleigh, NC (4565 Statewide)

Telehealth Adoption Rate

14.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (24 Years) 24 Yrs

Raleigh Specialty Average (9.6 Years) 9.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,215	138	$12.76	$5.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	473	287	$245.86	$102.38
17000 Destruction of skin growth	222	162	$128.54	$51.39
99213 Established patient office or other outpatient visit, typically 15 minutes	193	172	$173.56	$72.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	146	146	$319.17	$134.00
11102 Tangential biopsy of single skin lesion	120	108	$194.00	$78.23
17004 Destruction of precancer skin growth, 15 or more growths	103	83	$323.18	$132.43
11103 Biopsy of related skin growth, each additional growth	71	43	$96.24	$39.68
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	38	27	$370.48	$139.40
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	37	14	$27.10	$11.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$215.00	$88.91
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	12	11	$263.30	$103.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	956	115	$12.71	$5.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	367	247	$247.03	$102.32
17000 Destruction of skin growth	161	129	$128.37	$53.52
99213 Established patient office or other outpatient visit, typically 15 minutes	136	120	$174.23	$72.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	135	135	$321.47	$132.04
11102 Tangential biopsy of single skin lesion	112	104	$194.81	$80.94
17004 Destruction of precancer skin growth, 15 or more growths	97	73	$322.49	$135.49
11103 Biopsy of related skin growth, each additional growth	85	50	$96.71	$40.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$215.19	$90.26
17111 Destruction of skin growth, 15 or more growths	23	19	$255.80	$107.03
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	23	22	$371.53	$151.97
17110 Destruction of up to 14 skin growths	16	13	$218.25	$91.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	903	112	$12.50	$5.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	369	227	$252.08	$104.60
99213 Established patient office or other outpatient visit, typically 15 minutes	236	183	$177.38	$74.40
17000 Destruction of skin growth	173	125	$127.68	$52.03
11102 Tangential biopsy of single skin lesion	117	109	$200.46	$81.57
17110 Destruction of up to 14 skin growths	86	77	$218.72	$91.35
17111 Destruction of skin growth, 15 or more growths	82	63	$256.76	$107.69
11103 Biopsy of related skin growth, each additional growth	74	45	$101.98	$40.94
17004 Destruction of precancer skin growth, 15 or more growths	72	65	$319.98	$137.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$326.70	$134.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$218.02	$91.85
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	25	25	$374.50	$153.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	965	122	$16.53	$5.31
99213 Established patient office or other outpatient visit, typically 15 minutes	366	265	$160.33	$75.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	308	206	$231.59	$106.91
17000 Destruction of skin growth	181	137	$127.09	$53.96
11102 Tangential biopsy of single skin lesion	151	130	$196.10	$84.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	116	116	$212.85	$92.66
17110 Destruction of up to 14 skin growths	93	77	$216.78	$92.46
11103 Biopsy of related skin growth, each additional growth	86	62	$102.37	$43.34
17111 Destruction of skin growth, 15 or more growths	78	45	$254.49	$109.12
17004 Destruction of precancer skin growth, 15 or more growths	77	56	$312.26	$135.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	73	73	$323.38	$138.85
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	55	16	$27.45	$11.62
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	27	25	$373.60	$156.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	640	91	$18.54	$4.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	263	263	$209.00	$89.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	261	182	$211.60	$90.85
99213 Established patient office or other outpatient visit, typically 15 minutes	191	145	$145.40	$62.35
11102 Tangential biopsy of single skin lesion	158	138	$192.62	$82.16
17000 Destruction of skin growth	131	111	$126.42	$52.98
11103 Biopsy of related skin growth, each additional growth	118	65	$102.63	$43.97
17004 Destruction of precancer skin growth, 15 or more growths	93	68	$304.72	$131.26
17110 Destruction of up to 14 skin growths	79	65	$214.35	$92.29
17111 Destruction of skin growth, 15 or more growths	62	33	$253.33	$108.68
99202 New patient office or other outpatient visit, typically 20 minutes	30	30	$147.29	$62.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	23	$87.54	$37.49
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	25	23	$372.79	$156.33
17264 Destruction of cancer skin growth of trunk, arms, or legs, 3.1-4.0 cm	16	14	$399.70	$171.42
17273 Destruction of malignant growth (2.1 to 3.0 centimeters) of scalp, neck, hands, feet, or genitals	15	13	$405.19	$158.13
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	11	$398.29	$163.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	396	68	$15.25	$4.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	168	126	$164.07	$87.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	148	148	$164.98	$87.13
99213 Established patient office or other outpatient visit, typically 15 minutes	118	96	$129.17	$60.05
17000 Destruction of skin growth	101	89	$94.58	$46.66
11102 Tangential biopsy of single skin lesion	100	95	$142.68	$77.01
11103 Biopsy of related skin growth, each additional growth	73	45	$74.76	$42.84
17110 Destruction of up to 14 skin growths	43	36	$158.99	$88.77
17004 Destruction of precancer skin growth, 15 or more growths	41	36	$219.45	$122.51
17111 Destruction of skin growth, 15 or more growths	35	24	$188.73	$100.19
99202 New patient office or other outpatient visit, typically 20 minutes	34	34	$119.28	$61.79
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	24	21	$278.72	$142.53
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	11	11	$255.01	$116.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$72.06	$36.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	340	50	$15.81	$4.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	124	93	$156.36	$87.35
99213 Established patient office or other outpatient visit, typically 15 minutes	96	81	$106.10	$59.40
17000 Destruction of skin growth	87	77	$96.14	$42.75
11100 Biopsy of single growth of skin and/or tissue	71	68	$148.68	$76.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$156.53	$87.57
17110 Destruction of up to 14 skin growths	37	29	$159.02	$87.69
11101 Biopsy of each additional growth of skin and/or tissue	32	25	$47.49	$26.50
17111 Destruction of skin growth, 15 or more growths	29	20	$189.15	$104.87
17004 Destruction of precancer skin growth, 15 or more growths	28	25	$216.56	$116.81
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	14	12	$252.18	$116.57
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	14	11	$173.46	$79.78
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$108.35	$60.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,313	201	$60.06	$4.50
99213 Established patient office or other outpatient visit, typically 15 minutes	826	595	$119.55	$59.21
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	620	70	$30.00	$1.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	380	334	$187.86	$86.70
17000 Destruction of skin growth	291	230	$145.19	$48.04
11100 Biopsy of single growth of skin and/or tissue	212	202	$242.83	$78.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	156	156	$207.79	$87.33
17110 Destruction of up to 14 skin growths	156	126	$198.16	$87.82
17004 Destruction of precancer skin growth, 15 or more growths	91	81	$446.60	$120.94
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	80	72	$25.00	$20.53
11101 Biopsy of each additional growth of skin and/or tissue	72	55	$235.94	$26.52
17111 Destruction of skin growth, 15 or more growths	52	39	$245.32	$105.63
99202 New patient office or other outpatient visit, typically 20 minutes	37	37	$135.51	$60.64
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	17	17	$350.00	$153.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$87.00	$35.24
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	16	16	$435.00	$154.77
17283 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm	15	15	$506.00	$191.20

Medical Specialties & State Licenses

CMS Verified: 2020-10-02

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NC 201614

(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

Commercial Insurance / Payer ID Medicare

NCY997D895 (NC)

Commercial Insurance / Payer ID Railroad Medicare

P02076810

Hospital & Practice Group Affiliations

Midtown Dermatology, Pc

5904 Six Forks Rd, Raleigh, NC 276098228

Phone: 9842420510

Secondary Practice Locations

4056 Capital Dr

Rocky Mount, NC 278043123

Phone: 9842420510

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Beth Schulz-Butulis , DO

Dermatology

NPI 1134165830

Doctor of Osteopathic Medicine (D.O.)

Sarah Djali Purvis , PA-C

Physician Assistant

NPI 1225532666

Physician Assistant (Certified)

Jaclyn Schavone , PA-C

Physician Assistant

NPI 1407453921

Physician Assistant (Certified)

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Business Mailing Address October 02, 2020

Registered at 5904 SIX FORKS RD STE 211, RALEIGH, NC 276098228 (Tel: 9842420510)

👤

Provider Name / Credentials Updated October 02, 2020

Recorded as SANDRIVETTE JOHNSON, FNP-C

✅

NPI Profile Active August 18, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location August 18, 2017

Registered at 5904 SIX FORKS RD STE 211, RALEIGH, NC 276098228 (Tel: (984) 242-0510)

📍

Updated Business Mailing Address August 18, 2017

Registered at 5904 SIX FORKS RD, STE 211, RALEIGH, NC 27609 (Tel: (984) 242-0510)

👤

Provider Name / Credentials Updated August 18, 2017

Recorded as SANDRIVETTE JOHNSON, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2017

Nurse Practitioner (License #201614 in NC)

✅

NPI Profile Active July 27, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location July 27, 2015

Registered at 1806 GLENDALE DR SW, WILSON, NC 278934402 (Tel: 2522430566)

📍

Updated Business Mailing Address July 27, 2015

Registered at 1806 GLENDALE DR SW, WILSON, NC 278934402 (Tel: 2522430566)

👤

Provider Name / Credentials Updated July 27, 2015

Recorded as SANDRIVETTE JOHNSON, N.P.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2015

Nurse Practitioner (License #201614 in NC)

🟢

Initial NPI Registration & Enumeration July 21, 2006

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: 1740201458

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 21, 2006

Last Update: July 21, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5904 Six Forks Rd Ste 211

Raleigh, NC 276098228

Phone: 9842420510

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.