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Emily Johnson

Nurse Practitioner β€’ Davenport, FL

Active NPI 1669280657 Individual Practitioner Accepts Medicare assignment
Practice location in NPPES

7575 Osceola Polk Line Rd
Davenport, FL 338969112

Call 3216770531 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

7575 Osceola Polk Line Rd

Davenport, FL 338969112

Telephone 3216770531
Organization at the Same NPPES Address or Phone
Holiday Cvs Llc Facility NPI 1942304829

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Minuteclinic Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2024

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

2 years (graduated 2024)

CMS Doctors and Clinicians data list 2024 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Emily Johnson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Emily Johnson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Davenport and Florida

20 active clinicians are listed under Nurse Practitioner with a practice address in Davenport, FL (8,853 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Davenport

5% of these 20 clinicians have the CMS telehealth indicator.

50% of these 20 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-12-23
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES FL 11043835

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20260108000172

Enrollment State Jurisdiction

FL

PECOS Control ID

7012493265

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Minuteclinic Llc

7575 Osceola Polk Line Rd, Davenport, FL 338969112

Phone: 8663892727

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Briana Brown , FNP

Nurse Practitioner - Family

NPI 1003352204

Family Nurse Practitioner

Cynthia Bruns-Smit , ARNP

Nurse Practitioner - Family

NPI 1689880130

Advanced Registered Nurse Practitioner

Amy Deloach , APRN

Nurse Practitioner - Family

NPI 1568922078

Advanced Practice Registered Nurse

Mary Johnson , ARNP

Nurse Practitioner - Family

NPI 1750345898

Advanced Registered Nurse Practitioner

Manushka Noelus , MSN, APRN, FNP-C

Nurse Practitioner - Family

NPI 1841893963

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location December 23, 2025

Registered at 7575 OSCEOLA POLK LINE RD, DAVENPORT, FL 338969112 (Tel: 3216770531)

πŸ“
Updated Business Mailing Address December 23, 2025

Registered at 7575 OSCEOLA POLK LINE RD, DAVENPORT, FL 338969112

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 23, 2025

Nurse Practitioner (license number reported to NPPES: FL 11043835)

βœ…
NPI Profile Active December 21, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 21, 2024

Registered at 312 PRINCE ST, SEVIERVILLE, TN 378623823 (Tel: 8657747684)

πŸ“
Business Mailing Address (Initial Record) December 21, 2024

Registered at 312 PRINCE ST, SEVIERVILLE, TN 378623823 (Tel: 8657747684)

πŸ‘€
Provider Name / Credentials (Initial Record) December 21, 2024

Recorded as EMILY JOHNSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 21, 2024

Nurse Practitioner (license number reported to NPPES: TN 37870)

🟒
Initial NPI Registration & Enumeration December 21, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1669280657
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 21, 2024
Last Update: December 23, 2025
Sole Proprietor: No

Other Nurse Practitioners in Davenport

All Nurse Practitioners in Davenport

Mailing Address

7575 Osceola Polk Line Rd

Davenport, FL 338969112

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.