ANNA JOHANSON (MD) – Family Medicine Physician, NPI 1124466016
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171011000084 | I | Family Practice | CO | 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 80482)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CO | |
| Nurse Practitioner | CO | |
| Family Practice | KS | |
| - | CO | |
| Physician Assistant | CO | |
| Nurse Practitioner | CO | |
| - | TX | |
| H O S P I T A L I S T | CO | |
| Nurse Practitioner | CO | |
| N E U R O S U R G E R Y | TX |
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