AMY MARIE JOHNSON – Acute Care Nurse Practitioner, NPI 1386053742
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
761 NURSE PRACTITIONER in AK
Provider Addresses for AMY MARIE JOHNSON
3600 E Wickersham Way
Wasilla, AK 996547550
Phone: (907) 373-5950
Type: Location
200 1ST ST SW
ROCHESTER, MN 559050001
Phone: (507) 284-2511
Type: Mailing
1836 SOUTH AVE
LA CROSSE, WI 546015429
Phone: (608) 782-7300
Type: Mailing
1122 W HIGHWAY 61
WINONA, MN 559871957
Phone: (608) 782-7300
Type: Location
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: 2018-07-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180716001442 | I | Nurse Practitioner | MN | TBD |
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.
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 99654)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | AK | 81002 | Urinalysis, manual test | 42 | 38 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| P S Y C H I A T R Y | WI | |
| Physician Assistant | WI | |
| - | WI | |
| - | WI | |
| Family Practice | WI | |
| Nurse Practitioner | WI | |
| - | IL | |
| - | WI | |
| Gastroenterology, Internal Medicine | WI |
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