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De'La Johnson, NURSE PRACTITIONER

NPI 1356122634ActiveIndividual· Pain Medicine, Pain Medicine· New Smyrna Beach, FL

Pain Medicine, Pain Medicine (NURSE PRACTITIONER) with Legacy Healthcare Services Inc and 2 other groups, practicing in New Smyrna Beach, Florida. 294 Medicare patients in 2024, $104,845 paid; nearly all of their 567 Part D prescriptions were generic (90%).

Overview

NPI1356122634
StatusActive
Entity typeIndividual
CredentialNURSE PRACTITIONER
Sole proprietorYes
NPI issuedOct 11, 2023
Last updated in NPPESJul 12, 2024
Certified by providerJul 12, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Pain Medicine, Pain Medicine Primary208VP0000XAPRN11029119FL
Family Medicine207Q00000XAPRN11029119FL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (FL)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients294
Services billed1,860 across 10 procedure codes
Paid by Medicare$104,845

Part D prescriptions in 2024

Prescriptions (claims)567 · 600 30-day fills
Patients116
Total drug cost$28,594
Generic share90% of claims

Medicare sources and data years

Education and affiliations

Graduation year2023
Medicare specialtyNurse Practitioner

Medical groups

Other facilities

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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