Marietta Estelle Johnson, NP
NPI 1790550804ActiveIndividual· Internal Medicine· Montrose, CO
Internal Medicine (NP) with Montrose Memorial Hospital, Inc, practicing in Montrose, Colorado. In 2024 Medicare paid $19,683 for 169 patients, and Part D covered 240 of their prescriptions, 87% of them generic. Lists Intermountain Health St. Mary's Regional Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1790550804 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Nov 20, 2023 |
| Last updated in NPPES | Nov 2, 2026 |
| Certified by provider | Nov 2, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | APN.0999306-NP | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (CO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 169 |
|---|---|
| Services billed | 324 across 10 procedure codes |
| Paid by Medicare | $19,683 |
Part D prescriptions in 2024
| Prescriptions (claims) | 240 · 267 30-day fills |
|---|---|
| Patients | 101 |
| Total drug cost | $11,684 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Montrose Memorial Hospital, IncMontrose, CO · 148 clinicians
Hospital affiliations
- Intermountain Health St. Mary's Regional HospitalGrand Junction, CO
- Montrose Regional HealthMontrose, CO
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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