Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lara Cristina Johnson

Individual provider Registered Nurse · NPI 1912716200

Lara Cristina Johnson is a Nurse Practitioner in Berkley, Massachusetts. Qualified in 2024, 2 years ago. Practices with Mental Health Mastery Group LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Massachusetts and Rhode Island.

Years since qualifying
2
Licensed in
MA, RI
In the registry since
2025
Specialties on file
4
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Practice location Address checks out

3 Saints Way
Berkley, MA 02779-1343
Phone: (508) 292-1791
Fax: (469) 746-7555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN2279515 (MA)
Registered Nurse Taxonomy 163W00000X · Licence RN2279515 (MA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence APRN04545 (RI)
Registered Nurse Taxonomy 163W00000X · Licence RN79950 (RI)

Record details

NPI number1912716200
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 2, 2025
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Mental Health Mastery Group Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Berkley