Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nathan Patrick Johnson, PMHNP-BC

Individual provider Registered Nurse · NPI 1952754442

Nathan Patrick Johnson, PMHNP-BC is a Nurse Practitioner in Salem, Oregon. Qualified in 2016, 10 years ago. Practices as a sole proprietor, works from 3 locations and accepts Medicare assignment. Licensed in Oregon and Tennessee.

Years since qualifying
10
Licensed in
OR, TN
In the registry since
2016
Specialties on file
5
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

4035 12th St Cutoff SE Ste 120
Salem, OR 97302
Phone: (971) 304-9306
Fax: (503) 926-6624
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1249 Fairview Ave Se, Salem, OR 97302 — (971) 304-9306
  • 1249 Fairview Ave Se, Salem, OR 97302 — (971) 304-9306

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 201701390NP-PP (OR)
Registered Nurse Taxonomy 163W00000X · Licence 209338 (TN)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 201701389RN (OR)
Psychiatry Physician Taxonomy 2084P0800X · Licence 201701390NPPP (OR)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 0000022011 (TN)

Record details

NPI number1952754442
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedJuly 19, 2016
Last updated in NPPESJune 9, 2025
Certification dateJune 9, 2025

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)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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