Tasha Johnson, MSN, CRNP FNP-BC
Nurse Practitioner, Family in Chestertown, MD. Individual provider (NPI-1).
NPI number1043034697
StatusActive
Last updated in NPPESJan 30, 2025
Details
- NPI
- 1043034697
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Tasha Johnson
- Credential
- MSN, CRNP FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 11, 2024
- Certification date
- Jan 30, 2025
- Last updated
- Jan 30, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | R229253 | MD | Yes |
| 163W00000X | Registered Nurse | R229253 | MD |
Practice location
7416 Church Hill RdChestertown, MD 21620-2808
Phone 410-498-4848
Mailing address
7416 Church Hill Rd Ste 2Chestertown, MD 21620-2808
Phone 419-758-2178
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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