Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Madeline Grace Mouton-Johnston, MSN, CRNP, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1942020631

Madeline Grace Mouton-Johnston, MSN, CRNP, AGACNP-BC is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2024, 2 years ago. Practices with Clinical Health Care Associates of New Jersey PC, a 789-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
2
Licensed in
PA
In the registry since
2024
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

51 N 39th St
Philadelphia, PA 19104-2640
Phone: (215) 662-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence SP030939 (PA)

Record details

NPI number1942020631
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , CRNP , AGACNP-BC
Sole proprietorNo
NPI enumeratedOctober 16, 2024
Last updated in NPPESOctober 16, 2024
Certification dateOctober 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Clinical Health Care Associates Of New Jersey Pc — 789 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Clinical Health Care Associates of New Jersey PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 789 clinicians in the practice; 12 are shown here.

Other providers in Philadelphia