JOHANNA CALDERON (FNP-C) – Nursing Care Agency, NPI 1740994243

JOHANNA CALDERON (FNP-C) is a healthcare provider. based in North bergen, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 26NR21947800 (NJ). The NPI Number for JOHANNA CALDERON (FNP-C) is 1740994243

Main info

Female
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
JOHANNA CALDERON (FNP-C)
NPI
1740994243
Phone
(201) 854-6092
Address
9255 KENNEDY BLVD
Enumeration Date
9 January 2023
Last Update Date
15 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9732001886
Graduation Year
2025 (1 year ago)
PAC ID
3779076674
Group Practice PAC ID
1456898956
Professional Enrollment ID
I20251129000530
Address ID
NJ070121803CL225XXRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:3State licenses:2Digital endpointsOther names

7,515 NURSE PRACTITIONER in NJ

Provider Addresses for JOHANNA CALDERON (FNP-C)

  • 9255 KENNEDY BLVD

    NORTH BERGEN, NJ 070475322

    Phone: (201) 854-6092

    Type: Mailing

  • 9255 JOHN F. KENNEDY BLVD, NORTH

    NORTH BERGEN, NJ 07047

    Phone: (201) 854-6092

    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: 2025-11-29

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
I20251129000530INurse PractitionerNJTBD

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 07047)

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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: 1456898956View full group profile
NameSpecialtyState
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerPA
Nurse PractitionerNJ
Nurse PractitionerNY
Nurse PractitionerPA
Nurse PractitionerNJ

Reviews

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Frequently asked questions

What is the registry number for JOHANNA CALDERON (FNP-C)?
The registry entry for JOHANNA CALDERON (FNP-C) shows NPI 1740994243.
Is JOHANNA CALDERON (FNP-C)'s NPI status active today?
Active status means JOHANNA CALDERON (FNP-C)'s NPI record is not deactivated in the public file.
What does the directory say JOHANNA CALDERON (FNP-C) does?
Insurance directories may phrase it differently, but here JOHANNA CALDERON (FNP-C) maps to Nursing Care Agency. Clinical services aligned with this taxonomy classification.
Is JOHANNA CALDERON (FNP-C) tied to North Bergen, New Jersey?
If you are local to North Bergen, New Jersey, JOHANNA CALDERON (FNP-C) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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