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Active NPI 1720541220 Individual Practitioner Female Practitioner

Mary Anna Johnson , FNP-BC

Nurse Practitioner • Wallace, NC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mary Anna Johnson, FNP-BC is a certified Nurse Practitioner practicing in Wallace, NC. With approximately 7 years of clinical experience since completing medical education in 2019, Mary Anna Johnson delivers high-quality medical care to the local community at 207 E MURPHY ST.

Mary Anna Johnson is affiliated with Wallace Urgent Care Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, detection test by immunoassay technique for severe acute respiratory syndrome coronavirus, automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

207 E Murphy St

Wallace, NC 284661946

Telephone 9102854100
Fax 9102854766
Associated Practice Facility / Clinic
🏢 Daniel M Ricci M.d. P.a. Facility NPI 1689673618

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Wallace, NC

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs +1.5 yrs vs City Avg
City Avg: 5.5 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Wallace, NC (4565 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
50.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (7 Years) 7 Yrs
Wallace Specialty Average (5.5 Years) 5.5 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
99213 Established patient office or other outpatient visit, typically 15 minutes
59 54 $130.00 $72.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
32 30 $182.00 $101.96
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
24 24 $104.38 $34.62
81003 Automated urinalysis test
22 20 $6.00 $2.20
71046 X-ray of chest, 2 views
13 13 $68.00 $26.31
87430 Detection test by immunoassay technique for streptococcus, group a (strep)
12 11 $27.00 $16.47
87400 Detection test for Influenza virus, A or B
11 11 $24.64 $13.85

Medical Specialties & State Licenses

CMS Verified: 2021-02-24
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NC 5011650

(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.

Hospital & Practice Group Affiliations

Wallace Urgent Care Llc

112 Medical Village Dr, Wallace, NC 284661665

Phone: 9105521580

Practice Associates & Co-Workers

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

2 Associated Practitioners
Ashley King , PA-C

Physician Assistant

NPI 1033735576

Physician Assistant (Certified)

Dr. Daniel Ricci , MD

Internal Medicine

NPI 1528067519

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2021

Nurse Practitioner (License #5011650 in NC)

NPI Profile Active April 11, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 11, 2019

Registered at 207 E MURPHY ST, WALLACE, NC 284661946 (Tel: 9102854100)

📍
Updated Business Mailing Address April 11, 2019

Registered at POST OFFICE BOX 968, WALLACE, NC 28466 (Tel: 9102854100)

👤
Provider Name / Credentials Updated April 11, 2019

Recorded as MARY ANNA JOHNSON, FNP-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2019

Nurse Practitioner (License #5011650 in NC)

🟢
Initial NPI Registration & Enumeration April 11, 2019

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: 1720541220
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2019
Last Update: February 24, 2021
Sole Proprietor: Yes

Mailing Address

Post Office Box 968

Wallace, NC 28466

Phone: 9102854100

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.