MRS. JENNIFER ELIZABETH JOHNSON (FNP-C) – Family Nurse Practitioner, NPI 1760911044

MRS. JENNIFER ELIZABETH JOHNSON (FNP-C) is a healthcare provider. based in Long beach, California. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 1911966 (NY). The NPI Number for MRS. JENNIFER ELIZABETH JOHNSON (FNP-C) is 1760911044

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JENNIFER ELIZABETH JOHNSON (FNP-C)
NPI
1760911044
Phone
(562) 270-6344
Address
6621 PACIFIC COAST HIGHWAY
Enumeration Date
8 June 2017
Last Update Date
17 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5623361656
Graduation Year
2022 (4 years ago)
PAC ID
5597256412
Group Practice PAC ID
4284884982
Professional Enrollment ID
I20251118002960
Address ID
CA908072801LO4237XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:9State licenses:4Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

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Provider Addresses for MRS. JENNIFER ELIZABETH JOHNSON (FNP-C)

  • Pacific Coast Highway, Long Beach, Los Angeles County, California, 90740, United States

    LONG BEACH, CA 90803

    Phone: (562) 270-6344

    Type: Location

  • Pacific Coast Highway, Seal Beach, Orange County, California, 90743, United States

    LONG BEACH, CA 908034200

    Phone: (562) 270-6344

    Type: Mailing

  • 24953 PASEO DE VALENCIA STE 7A

    LAGUNA HILLS, CA 926534342

    Phone: (949) 829-2779

    Fax: (949) 339-3009

    Type: Mailing

  • 24902 MOULTON PKWY STE 120

    LAGUNA HILLS, CA 926376403

    Phone: (949) 829-2779

    Fax: (949) 339-3009

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $662.

Total Amount is formed as General ($662) + Research ($0) + Ownership ($0) = $662.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Braeburn Inc. ($365).

Total Amount

$662

General + Research + Ownership

Payments

28

Total payment records

General Amount

$662

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-11-18

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
I20251118002960INurse PractitionerCATBD

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 90803)

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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: 4284884982View full group profile
NameSpecialtyState
Nurse PractitionerCA
Family Practice, Emergency MedicineCA
Nurse PractitionerCA
Nurse PractitionerGA
Physician AssistantCA
Nurse PractitionerCA
Nurse PractitionerID
Physician AssistantCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

What is the registry number for MRS. JENNIFER ELIZABETH JOHNSON (FNP-C)?
The registry entry for MRS. JENNIFER ELIZABETH JOHNSON (FNP-C) shows NPI 1760911044.
Is MRS. JENNIFER ELIZABETH JOHNSON (FNP-C)'s NPI status active today?
Active status means MRS. JENNIFER ELIZABETH JOHNSON (FNP-C)'s NPI record is not deactivated in the public file.
What type of care does MRS. JENNIFER ELIZABETH JOHNSON (FNP-C) provide?
MRS. JENNIFER ELIZABETH JOHNSON (FNP-C)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MRS. JENNIFER ELIZABETH JOHNSON (FNP-C) tied to Long Beach, California?
If you are local to Long Beach, California, MRS. JENNIFER ELIZABETH JOHNSON (FNP-C) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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