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

Stefanie Marie Johnson

Individual provider Acute Care Nurse Practitioner · NPI 1962399675

Stefanie Marie Johnson is a Nurse Practitioner in San Antonio, Texas. Qualified in 2025, 1 year ago. Practices with Community Medicine Associates, a 589-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
1
Licensed in
TX
In the registry since
2025
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Practice location Address checks out

4502 Medical Dr
San Antonio, TX 78229-4402
Phone: (210) 358-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10676 Bristow Station Dr, Bristow, VA 20136-1363 — (505) 903-4480

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 1204826 (TX)

Record details

NPI number1962399675
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 24, 2025
Last updated in NPPESSeptember 25, 2025
Certification dateSeptember 25, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Community Medicine Associates — 589 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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