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

Mary Agnes Johnson, NP

Individual provider Nurse Practitioner · NPI 1003251539

Mary Agnes Johnson, NP is a Nurse Practitioner in Fort Worth, Texas. Qualified in 2012, 14 years ago. Practices with Integrative Emergency Services Physician Group PA, a 71-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
14
Licensed in
TX
In the registry since
2013
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1400 8th Ave
Fort Worth, TX 76104-4110
Phone: (817) 922-7070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 834891 (TX)

Record details

NPI number1003251539
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 10, 2013
Last updated in NPPESMay 10, 2013
Mailing address2900 Willing Ave, Fort Worth, TX 76110-3446

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Integrative Emergency Services Physician Group Pa — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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