STACY NICOLE JOHNSON (PA-S) – Physician Assistant, NPI 1497993703
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,161 PHYSICIAN ASSISTANT in CO
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Provider Addresses for STACY NICOLE JOHNSON (PA-S)
CSL Plasma, 11651, West 64th Avenue, Arvada, Jefferson County, Colorado, 80004, United States
D-5
ARVADA, CO 800044323
Phone: (303) 425-5536
Fax: (303) 425-0769
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: 2009-05-07
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 |
|---|---|---|---|---|
| I20090507000583 | I | Physician Assistant | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 23 | 23 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 21 | 18 | $0 |
Insurance plans in this area (ZIP 80004)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| Physician Assistant | NC | |
| Family Practice | CO | |
| Physician Assistant | CO | |
| Physician Assistant | CO | |
| Physician Assistant | VT | |
| Family Practice | CO | |
| - | LA | |
| Physician Assistant | TX | |
| - | VA |
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