MS. MARY SUE JOHNSON (ARNP-C) – Family Medicine Physician, NPI 1063420883

MS. MARY SUE JOHNSON (ARNP-C) is a healthcare provider. based in Lady lake, Florida. specializing in Family Medicine Physician. They hold the professional credentials ARNP-C. They hold a License No. ARNP-3346602 (FL). The NPI Number for MS. MARY SUE JOHNSON (ARNP-C) is 1063420883

Main info

Female
Sole Proprietor
Name
MS. MARY SUE JOHNSON (ARNP-C)
NPI
1063420883
Phone
(352) 750-5000
Address
1560 SANTA BARBARA BLVD
Enumeration Date
4 August 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MS. MARY SUE JOHNSON (ARNP-C)

  • 1560 SANTA BARBARA BLVD

    LADY LAKE, FL 32159

    Phone: (352) 750-5000

    Fax: (352) 750-5004

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $1,344.

Total Amount is formed as General ($1,344) + Research ($0) + Ownership ($0) = $1,344.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Boston Scientific Corporation ($350).

Total Amount

$1,344

General + Research + Ownership

Payments

15

Total payment records

General Amount

$1,344

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 32159)

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Reviews

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Frequently asked questions

Is MS. MARY SUE JOHNSON (ARNP-C) listed with a National Provider Identifier?
Yes — MS. MARY SUE JOHNSON (ARNP-C) has NPI 1063420883 on file in the registry.
Is MS. MARY SUE JOHNSON (ARNP-C) still an active registrant?
MS. MARY SUE JOHNSON (ARNP-C) carries an active NPI according to the public dataset.
What clinical focus is listed for MS. MARY SUE JOHNSON (ARNP-C)?
At a glance, MS. MARY SUE JOHNSON (ARNP-C) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with MS. MARY SUE JOHNSON (ARNP-C)?
Directory geography for MS. MARY SUE JOHNSON (ARNP-C) centers on Lady Lake, Florida.
When was this NPI issued?
Enumeration for MS. MARY SUE JOHNSON (ARNP-C) is noted as August 4, 2006 where the registry provides it.

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