DR. LISA ANNE JOHNSON (M.D.) – Obstetrics & Gynecology Physician, NPI 1699875427

DR. LISA ANNE JOHNSON (M.D.) is a healthcare provider. based in Anchorage, Alaska. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 6033 (AK). The NPI Number for DR. LISA ANNE JOHNSON (M.D.) is 1699875427

Main info

Female
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. LISA ANNE JOHNSON (M.D.)
NPI
1699875427
Phone
(907) 561-7111
Address
3260 PROVIDENCE DR STE 425
Enumeration Date
22 September 2006
Last Update Date
29 October 2009

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8009672289
Graduation Year
2001 (25 years ago)
PAC ID
5496893455
Group Practice PAC ID
7113233834
Professional Enrollment ID
I20091111000480
Address ID
AK995084615AN3200XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

111 OBSTETRICS/GYNECOLOGY in AK

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Provider Addresses for DR. LISA ANNE JOHNSON (M.D.)

  • Providence Drive, Anchorage, Alaska, 99508, United States

    ANCHORAGE, AK 995084603

    Phone: (907) 561-7111

    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: 2009-11-11

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
I20091111000480IObstetrics/GynecologyAKTBD

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 99508)

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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: 7113233834View full group profile
NameSpecialtyState
Certified Nurse Midwife (Cnm)AK
Certified Nurse Midwife (Cnm)OR
Certified Nurse Midwife (Cnm)OH
-ID
-AK
Certified Nurse Midwife (Cnm)AK

Reviews

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Frequently asked questions

Can I verify DR. LISA ANNE JOHNSON (M.D.) with an NPI only?
You can start verification with NPI 1699875427 for DR. LISA ANNE JOHNSON (M.D.), then check state licensing separately.
Is DR. LISA ANNE JOHNSON (M.D.) listed as active for patients and plans?
The listing shows DR. LISA ANNE JOHNSON (M.D.) as active in the NPI system.
What is DR. LISA ANNE JOHNSON (M.D.)'s primary classification?
Obstetrics & Gynecology Physician is the headline specialty for DR. LISA ANNE JOHNSON (M.D.) here. Clinical services aligned with this taxonomy classification.
What area does DR. LISA ANNE JOHNSON (M.D.) serve?
DR. LISA ANNE JOHNSON (M.D.)'s listing highlights Anchorage, Alaska; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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