Active NPI 1003251539 Individual Practitioner Female Practitioner

Mary Agnes Johnson , NP

Nurse Practitioner • Fort Worth, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mary Johnson, NP is a certified Nurse Practitioner practicing in Fort Worth, TX. With approximately 14 years of clinical experience since completing medical education in 2012, Mary Johnson delivers high-quality medical care to the local community at 1400 8TH AVE.

Mary Johnson is affiliated with Integrative Emergency Services Physician Group Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1400 8th Ave

Fort Worth, TX 761044110

Telephone 8179227070

Associated Practice Facility / Clinic

🏢 Healthtexas Provider Network-Transplant Services Llp Facility NPI 1790782654

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Fort Worth, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs +5.4 yrs vs City Avg

City Avg: 8.6 Yrs

State Avg: 9.7 Yrs

Regional Practice Density

155 Specialists

Practicing in Fort Worth, TX (4894 Statewide)

Telehealth Adoption Rate

16.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

87.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (14 Years) 14 Yrs

Fort Worth Specialty Average (8.6 Years) 8.6 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$645.00	$80.69
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$436.00	$54.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$645.00	$81.35
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$436.00	$55.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	38	$645.00	$82.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$1018.00	$112.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	47	$620.11	$84.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$1018.00	$114.78
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$408.13	$57.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	42	$615.00	$65.75
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$398.00	$43.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$1018.00	$109.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	71	$615.00	$66.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$1018.00	$108.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	90	89	$619.48	$65.01
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$398.00	$42.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	113	107	$615.00	$64.90
99213 Established patient office or other outpatient visit, typically 15 minutes	28	27	$387.44	$42.07
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$873.00	$91.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$1018.00	$107.00

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX 834891

(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

Integrative Emergency Services Physician Group Pa

1575 S Main St, Fort Worth, TX 761044901

Phone: 8179213431

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Derek Kelly , MD

Emergency Medicine

NPI 1164622007

Doctor of Medicine (M.D.)

Dr. Richard Chang , MD

Emergency Medicine

NPI 1205156601

Doctor of Medicine (M.D.)

Brittany Roberts , FNP

Nurse Practitioner - Family

NPI 1255981965

Family Nurse Practitioner

D'laine Gutmann , NP-C

Nurse Practitioner - Family

NPI 1306244918

Nurse Practitioner (Certified)

Nancy Mcentire , RN

Registered Nurse

NPI 1992646111

Registered Nurse

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 10, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location May 10, 2013

Registered at 1400 8TH AVE, FORT WORTH, TX 761044110 (Tel: 8179227070)

📍

Updated Business Mailing Address May 10, 2013

Registered at 2900 WILLING AVE, FORT WORTH, TX 761103446 (Tel: 3347440554)

👤

Provider Name / Credentials Updated May 10, 2013

Recorded as MARY JOHNSON, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2013

Nurse Practitioner (License #834891 in TX)

🟢

Initial NPI Registration & Enumeration May 10, 2013

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: 1003251539

Entity Type:

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

Enumeration Date: May 10, 2013

Last Update: May 10, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2900 Willing Ave

Fort Worth, TX 761103446

Phone: 3347440554

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.