ANNA JOHANSON (MD) – Family Medicine Physician, NPI 1124466016

ANNA JOHANSON (MD) is a healthcare provider. based in Winter park, Colorado. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 0005213 (CO). The NPI Number for ANNA JOHANSON (MD) is 1124466016

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
ANNA JOHANSON (MD)
NPI
1124466016
Phone
(970) 812-8765
Address
78878 US HIGHWAY 40 WINTER PARK, CO 80482
Enumeration Date
12 June 2013
Last Update Date
5 August 2024

Doctor Profile

Medical School Name
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Secondary Phone
9707243442
Graduation Year
2013 (13 years ago)
PAC ID
9436399359
Group Practice PAC ID
7517871544
Professional Enrollment ID
I20171011000084
Address ID
CO804465304GR1000XSXXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

2,660 FAMILY PRACTICE in CO

Provider Addresses for ANNA JOHANSON (MD)

  • 78878 US HIGHWAY 40 WINTER PARK, CO 80482

    WINTER PARK, CO 80482

    Phone: (970) 812-8765

    Fax: (970) 788-7518

    Type: Location

  • 4010 LOWELL BLVD

    DENVER, CO 802111949

    Phone: (720) 284-2814

    Type: Mailing

  • 8510 BRYANT ST STE 210

    WESTMINSTER, CO 800313845

    Phone: (303) 430-6002

    Type: Location

  • PO BOX 1213

    TABERNASH, CO 804780207

    Phone: (720) 284-2814

    Type: Mailing

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: 2017-10-11

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
I20171011000084IFamily PracticeCOTBD

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 80482)

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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: 7517871544View full group profile
NameSpecialtyState
Physician AssistantCO
Nurse PractitionerCO
Family PracticeKS
-CO
Physician AssistantCO
Nurse PractitionerCO
-TX
H O S P I T A L I S TCO
Nurse PractitionerCO
N E U R O S U R G E R YTX

Reviews

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Frequently asked questions

What NPI should I save for ANNA JOHANSON (MD)?
Save NPI 1124466016 if you need a stable reference for ANNA JOHANSON (MD).
Is ANNA JOHANSON (MD) currently active in the NPI registry?
CMS-published data lists ANNA JOHANSON (MD) as an active registrant.
Can you summarize ANNA JOHANSON (MD)'s specialty in plain language?
Clinically, the directory lists ANNA JOHANSON (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for ANNA JOHANSON (MD)?
The page summarizes Winter Park, Colorado for ANNA JOHANSON (MD); expand the address list for detail.
What if Winter Park, Colorado seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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