HEATHER ANDREA JOHNSON (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1184433559

HEATHER ANDREA JOHNSON (APRN) is a healthcare provider. based in Daytona beach, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN11036757 (FL). The NPI Number for HEATHER ANDREA JOHNSON (APRN) is 1184433559

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
HEATHER ANDREA JOHNSON (APRN)
NPI
1184433559
Phone
(862) 363-2253
Address
150 MAGNOLIA AVE
Enumeration Date
31 December 2024
Last Update Date
20 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8005394228
Graduation Year
2024 (2 years ago)
PAC ID
0446789820
Group Practice PAC ID
0244226363
Professional Enrollment ID
I20250130000836
Address ID
FL321142810DA1220XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for HEATHER ANDREA JOHNSON (APRN)

  • 150 MAGNOLIA AVE

    DAYTONA BEACH, FL 321144304

    Phone: (862) 363-2253

    Type: Mailing

  • 1220 WILLIS AVE

    DAYTONA BEACH, FL 321142810

    Phone: (800) 539-4228

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-01-30

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
I20250130000836INurse PractitionerFLTBD

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 32114)

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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: 0244226363View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
-FL
Nurse PractitionerMA
-FL
Nurse PractitionerFL
Mental Health CounselorFL

Reviews

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Frequently asked questions

Does HEATHER ANDREA JOHNSON (APRN) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — HEATHER ANDREA JOHNSON (APRN) uses 1184433559.
Can I rely on HEATHER ANDREA JOHNSON (APRN) being an active provider?
As of the registry snapshot, HEATHER ANDREA JOHNSON (APRN) is marked active.
What is HEATHER ANDREA JOHNSON (APRN) best known for clinically?
Directory data describes HEATHER ANDREA JOHNSON (APRN) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect HEATHER ANDREA JOHNSON (APRN) on a map?
Expect Daytona Beach, Florida as a primary anchor for HEATHER ANDREA JOHNSON (APRN) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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