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

Mary Johnson, NP

Individual provider Family Nurse Practitioner · NPI 1407315195

Mary Johnson, NP is a Nurse Practitioner in Mountain Grove, Missouri. Qualified in 2016, 10 years ago. Practices with Fastdoc Urgent Care Centers of Missouri LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
10
Licensed in
MO
In the registry since
2019
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

120 W 16th St
Mountain Grove, MO 65711-1039
Phone: (417) 926-6111
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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 2019007175 (MO)

Record details

NPI number1407315195
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 13, 2019
Last updated in NPPESJanuary 18, 2022
Certification dateJanuary 18, 2022
Mailing address120 W 16th St, Mountain Grove, MO 65711-1039

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Fastdoc Urgent Care Centers Of Missouri Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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