Mrs. Marisa Protasel Johnson
PMHNP-BC | Nurse Practitioner | 6+ years Exp
12360 E Burnside St, Portland
Oregon, 97233-1042
971-279-4800
Accepts Medicare Nurse Anesthetist in Portland, Oregon.Mrs. Marisa Protasel Johnson is a Portland, Oregon based nurse practitioner with 6 years of experience in Nurse Practitioner. She completed her graduation in 2019. and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mrs. Marisa Protasel Johnson is 202208550NP-PP for Psych/Mental Health in Oregon. Her current practice location is 12360 E Burnside St, Portland. Patients can reach her at 971-279-4800 or can fax her at 971-279-2051. Mrs. Marisa Protasel Johnson is PMHNP-BC with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1699011767.
Mrs. Marisa Protasel Johnson has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mrs. Marisa Protasel Johnson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mrs. Marisa Protasel Johnson |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | PMHNP-BC |
| Experience: | 6+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2019 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 12360 E Burnside St, Portland, Oregon, 97233-1042 |
| Phone: | 971-279-4800 |
| Fax: | 971-279-2051 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 5890111025 |
| Enrollment ID: | I20210924000248 |
| NPI Number: | 1699011767 |
| NPI Enumeration Date: | 18 Dec, 2012 |
| NPI Last Update On: | 21 Mar, 2024 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Marisa Protasel Johnson are as mentioned below.
| License Number | Specialization | State | Status | |
| 202208550NP-PP | Psych/Mental Health | Oregon | Primary | |
| RN60200108 | Registered Nurse | Washington | Secondary | |
| AP61312604 | Nurse Practitioner | Washington | Secondary | |
| 209.021409 | Psych/Mental Health | Illinois | Secondary | |
| 202208453RN | Registered Nurse | Oregon | Secondary | |
| 041495198 | Registered Nurse | Illinois | Secondary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (030084) | Chinle, AZ | Acute Care Hospital |
| (440161) | Nashville, TN | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mrs. Marisa Protasel Johnson is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Dhhs Phs Naihs Chinle Comprehensive Health Care Facility (9436062585) | 157 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Marisa Protasel Johnson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 500819896 | Medicaid | Oregon | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mrs. Marisa Protasel Johnson 1776 Sw Madison St, Portland, Oregon |
| Zip: | 97205-1715 |
| Phone Number: | 503-224-1044 |
| Fax Number: | 503-621-2235 |
Patients can reach Mrs. Marisa Protasel Johnson at
12360 E Burnside St, Portland, Oregon or can
call to book an appointment on 971-279-4800.
Comments/ Reviews:
Patients can read all the reviews posted for Mrs. Marisa Protasel Johnson below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Mrs. Marisa Protasel Johnson. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.