VINSON LEWIS JOHNSON (CRNP) – Family Nurse Practitioner, NPI 1093513715

VINSON LEWIS JOHNSON (CRNP) is a healthcare provider. based in Ozark, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-180268 (AL). The NPI Number for VINSON LEWIS JOHNSON (CRNP) is 1093513715

Main info

Male
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
VINSON LEWIS JOHNSON (CRNP)
NPI
1093513715
Phone
(334) 774-7610
Address
1519 ANDREWS AVE
Enumeration Date
6 March 2025
Last Update Date
6 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3347747610
Graduation Year
2024 (2 years ago)
PAC ID
0345755377
Group Practice PAC ID
3476466327
Professional Enrollment ID
I20250717000743
Address ID
AL363603719OZ1519XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for VINSON LEWIS JOHNSON (CRNP)

  • 1519 ANDREWS AVE

    OZARK, AL 363603719

    Phone: (334) 774-7610

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250717000743INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36360)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476466327View full group profile
NameSpecialtyState
Family Practice, Internal MedicineAL
Family Practice, Preventive MedicineAL
-AL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
Nurse PractitionerAL
Nurse PractitionerFL
Nurse PractitionerAL
General SurgeryIL
Family PracticeAL

Reviews

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Frequently asked questions

What NPI should I save for VINSON LEWIS JOHNSON (CRNP)?
Save NPI 1093513715 if you need a stable reference for VINSON LEWIS JOHNSON (CRNP).
Is VINSON LEWIS JOHNSON (CRNP) active in the national directory?
VINSON LEWIS JOHNSON (CRNP)'s public NPI profile is in an active state.
Can you summarize VINSON LEWIS JOHNSON (CRNP)'s specialty in plain language?
Clinically, the directory lists VINSON LEWIS JOHNSON (CRNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place VINSON LEWIS JOHNSON (CRNP)?
The snapshot lists Ozark, Alabama for VINSON LEWIS JOHNSON (CRNP); download NPPES for the complete set.
What if Ozark, Alabama seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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