MARCELLINA JOHNSON (NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1346544830

MARCELLINA JOHNSON (NP) is a healthcare provider. based in West covina, California. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 457076 (CA). The NPI Number for MARCELLINA JOHNSON (NP) is 1346544830

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
MARCELLINA JOHNSON (NP)
NPI
1346544830
Phone
(626) 221-7401
Address
1033 S SHASTA ST
Enumeration Date
27 December 2010
Last Update Date
2 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9093942526
Graduation Year
2008 (18 years ago)
PAC ID
9931337391
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20151022001884
Address ID
CA917732340SA1255XHWYX400

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:15State licenses:2Other namesUpdated within 12 months

16,360 NURSE PRACTITIONER in CA

Provider Addresses for MARCELLINA JOHNSON (NP)

  • 1033 S SHASTA ST

    WEST COVINA, CA 917913613

    Phone: (626) 221-7401

    Fax: (626) 279-2279

    Type: Mailing

  • 316 W 2ND ST

    LOS ANGELES, CA 900123504

    Phone: (213) 785-5906

    Type: Location

  • 525 E SEASIDE WAY UNIT 309

    LONG BEACH, CA 908028002

    Phone: (626) 221-7401

    Type: Mailing

  • 550 S VERMONT AVE

    LOS ANGELES, CA 900201912

    Phone: (800) 854-7771

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2024-06-26 • Largest payer in this snapshot: Ferring Pharmaceuticals Inc. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-10-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151022001884INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91791)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Internal Medicine, GastroenterologyCA
Physician AssistantCA
Emergency MedicineNC
O P H T H A L M O L O G YCA
Anesthesiology, Pain ManagementNH
Family Practice, Sports MedicineCA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for MARCELLINA JOHNSON (NP)?
Save NPI 1346544830 if you need a stable reference for MARCELLINA JOHNSON (NP).
Is MARCELLINA JOHNSON (NP) active in the national directory?
MARCELLINA JOHNSON (NP)'s public NPI profile is in an active state.
Can you summarize MARCELLINA JOHNSON (NP)'s specialty in plain language?
Clinically, the directory lists MARCELLINA JOHNSON (NP) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place MARCELLINA JOHNSON (NP)?
The snapshot lists West Covina, California for MARCELLINA JOHNSON (NP); download NPPES for the complete set.
What if West Covina, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

Similar Providers

MRS. MENGFEN CHANG MOSELEY (NP)

Psychiatric/Mental Health Nurse Practitioner
933 S Sunset Ave Ste 105
NPI: 1720316979

GLOBE MEDICAL SERVICES INC

Family Nurse Practitioner
640 S SUNSET AVE
NPI: 1487089702

LIVIA CSONKA MARTA PERRY (N.P.)

Psychiatric/Mental Health Nurse Practitioner
2552 1/2 N TOWNE AVE
NPI: 1215352620

JESSICA JUN (NP)

Psychiatric/Mental Health Nurse Practitioner
415 W ROUTE 66 STE 202
NPI: 1265951016

BEATRIZ LEYVA CAULFIELD (MASTER OF SCIENCE)

Psychiatric/Mental Health Nurse Practitioner
237, South Vernon Avenue, Azusa, Los Angeles County, California, 91702, United States
NPI: 1093224396

STEVEN YANG (FNP)

Psychiatric/Mental Health Nurse Practitioner
1450, East Holt Avenue, Pomona, Los Angeles County, California, 91767, United States
NPI: 1487204921

REBECCA ANN BECKETT (RN, PMHNP-BC)

Student in an Organized Health Care Education/Training Program
1517 W GARVEY AVE N
NPI: 1063028405

ROBIN ALYSSA MOVSESIAN

Psychiatric/Mental Health Nurse Practitioner
4132 KATELLA AVE STE 200
NPI: 1417563859