Individual ProviderAnn JohanssonNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address4401 Penn Ave, Floor 3, Pittsburgh, PA 15224-1334(317) 373-6202(412) 692-6806PECOS EnrollmentBased on the most recent information from CMS, provider Ann Johansson is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 10:04 AM.Profile DetailsProvider ID1124622493Provider TypeIndividualFull NameJohansson, AnnCredentialCRNPGenderFemaleSole ProprietorNoEnumeration Date11/26/2020Last Updated2/1/2023Contact InformationPractice LocationPractice Address4401 Penn Ave, Floor 3, Pittsburgh, PA 15224-1334Phone(317) 373-6202FaxUnlisted FaxMailing LocationMailing Address4401 Penn Ave Ste 1200, Pittsburgh, PA 15224-1334Phone(412) 692-6806FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseSP022679Pennsylvania