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

Mary Ellen Johnson, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1831825686

Mary Ellen Johnson, FNP-BC is a Nurse Practitioner in Halfmoon, New York. Qualified in 2022, 4 years ago. Practices with Community Care Physicians PLLC, a 364-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2022
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1783 Route 9 Ste 102
Halfmoon, NY 12065-2467
Phone: (518) 383-4198
Fax: (518) 383-0448
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 349935 (NY)

Record details

NPI number1831825686
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJuly 25, 2022
Last updated in NPPESSeptember 20, 2023
Certification dateSeptember 20, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Community Care Physicians Pllc — 364 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Halfmoon