Olivia Nicole Johnson, BSN, RN
NPI 1992473748ActiveIndividual· Nurse Practitioner· Douglas, AZ
Nurse Practitioner (BSN, RN) in Douglas, Arizona, trained at University of Arizona College of Medicine (class of 2019). Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1992473748 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | BSN, RN |
| Sole proprietor | No |
| NPI issued | Sep 4, 2021 |
| Last updated in NPPES | Jan 22, 2026 |
| Certified by provider | Jan 22, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 231513 | AZ |
| Registered Nurse | 163W00000X | 231513 | AZ |
| Registered Nurse | 163W00000X | 95256334 | CA |
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 (AZ) |
|---|
Education and affiliations
| Medical school | University of Arizona College of Medicine |
|---|---|
| Graduation year | 2019 |
| Medicare specialty | Nurse Practitioner |
Medical group
- Chiricahua Community Health Centers IncBisbee, AZ · 44 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner providers in Douglas
- 1891070520