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

Mrs. Mary Beth Johnson, ARNP

Individual provider Obstetrics & Gynecology Nurse Practitioner · NPI 1104085497

Mrs. Mary Beth Johnson, ARNP is a Nurse Practitioner in Davenport, Iowa. Qualified in 2007, 19 years ago. Practices with State University of Iowa, a 1,885-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
19
Licensed in
IA
In the registry since
2008
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

See every abbreviation used in this directory →

Practice location Address checks out

3385 Dexter Ct Ste 110
Davenport, IA 52807-3475
Phone: (563) 355-2244
Fax: (319) 356-3949
Show map & directions

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

Specialties & licences

Obstetrics & Gynecology Nurse Practitioner (primary) Taxonomy 363LX0001X · Licence F100600 (IA)

Record details

NPI number1104085497
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP
Sole proprietorNo
NPI enumeratedJune 3, 2008
Last updated in NPPESApril 16, 2026
Certification dateApril 16, 2026
Mailing address200 Hawkins Dr, Iowa City, IA 52242-1009

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice State University Of Iowa — 1885 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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