EMILY JEANNE JOHNSON (MD) – Family Medicine Physician, NPI 1033565908

EMILY JEANNE JOHNSON (MD) is a healthcare provider. based in Colorado springs, Colorado. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 35.146915 (OH). The NPI Number for EMILY JEANNE JOHNSON (MD) is 1033565908

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
EMILY JEANNE JOHNSON (MD)
NPI
1033565908
Phone
(719) 632-5700
Address
3205 N ACADEMY BLVD STE 130
Enumeration Date
10 May 2016
Last Update Date
8 September 2025

Doctor Profile

Medical School Name
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Secondary Phone
7196325700
Graduation Year
2016 (10 years ago)
PAC ID
1355635871
Group Practice PAC ID
4688583974
Professional Enrollment ID
I20190730000929
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:10State licenses:2Digital endpointsOther names

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Provider Addresses for EMILY JEANNE JOHNSON (MD)

  • 130, North Academy Boulevard, Colorado Springs, El Paso County, Colorado, 80909, United States

    COLORADO SPRINGS, CO 809175152

    Phone: (719) 632-5700

    Fax: (719) 344-7865

    Type: Mailing

  • 3300, North Academy Boulevard, Colorado Springs, El Paso County, Colorado, 80917, United States

    COLORADO SPRINGS, CO 809175100

    Phone: (719) 632-5700

    Fax: (719) 344-7840

    Type: Location

  • 4725 HIGH ST

    DENVER, CO 802162220

    Phone: (303) 458-5302

    Type: Mailing

  • 2101 E 48TH AVE

    DENVER, CO 802162253

    Phone: (303) 458-5302

    Fax: (303) 583-0152

    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: 2023-01-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20190730000929IFamily PracticeCOTBD
I20230111001550IFamily PracticeOHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99215Established patient office or other outpatient visit, 40-54 minutes14192$0
99214Established patient office or other outpatient visit, 30-39 minutes12379$0
99213Established patient office or other outpatient visit, 20-29 minutes6554$0
99205New patient office or other outpatient visit, 60-74 minutes2424$0
99212Established patient office or other outpatient visit, 10-19 minutes2321$0
View full utilization report →

Insurance plans in this area (ZIP 80917)

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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: 4688583974View full group profile

Reviews

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Frequently asked questions

What is EMILY JEANNE JOHNSON (MD)'s NPI number?
EMILY JEANNE JOHNSON (MD)'s NPI is 1033565908 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to EMILY JEANNE JOHNSON (MD)?
You should see EMILY JEANNE JOHNSON (MD) as active in CMS-hosted NPPES data.
What area of care is associated with EMILY JEANNE JOHNSON (MD)?
EMILY JEANNE JOHNSON (MD)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for EMILY JEANNE JOHNSON (MD)?
Travel planning: use Colorado Springs, Colorado as the reference point for EMILY JEANNE JOHNSON (MD), then confirm.
When was this NPI issued?
Enumeration for EMILY JEANNE JOHNSON (MD) is noted as May 10, 2016 where the registry provides it.

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