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

Mrs. Alicia L Johnson, FNP-C

Individual provider Family Nurse Practitioner · NPI 1003563768

Mrs. Alicia L Johnson, FNP-C is a Nurse Practitioner in Elbridge, New York. Qualified in 2021, 5 years ago. Practices with Familycare Medical Group PC, a 109-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2022
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

5566 Jordan Rd
Elbridge, NY 13060-9617
Phone: (315) 689-1833
Fax: (315) 389-1834
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F347820 (NY)

Record details

NPI number1003563768
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedMarch 3, 2022
Last updated in NPPESFebruary 8, 2024
Certification dateFebruary 8, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Familycare Medical Group Pc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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