CORRINNE E. JOHNSON (PA-C) – Physician Assistant, NPI 1609101393
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
4,166 PHYSICIAN ASSISTANT in CO
Provider Addresses for CORRINNE E. JOHNSON (PA-C)
95 S PAGOSA BLVD
PAGOSA SPRINGS, CO 811478329
Phone: (970) 731-3700
Fax: (970) 731-0511
Type: Mailing
802 RIO GRANDE
CREEDE, CO 811305144
Phone: (719) 658-0929
Fax: (197) 658-2830
Type: Location
1033 2nd Ave
Monte Vista, CO 811441737
Phone: (719) 852-8827
Fax: (719) 852-2739
Type: Location
802 Rio Grande
Creede, CO 811305144
Phone: (719) 658-0929
Fax: (197) 658-2830
Type: Location
Blake Avenue, Glenwood Springs, Garfield County, Colorado, 81601, United States
GLENWOOD SPRINGS, CO 816014206
Phone: (970) 945-2840
Fax: (970) 945-2893
Type: Mailing
14th Street, Rifle, Garfield County, Colorado, 81650, United States
BUILDING C
RIFLE, CO 816504700
Phone: (970) 945-2840
Fax: (970) 945-2893
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $52.
Total Amount is formed as General ($52) + Research ($0) + Ownership ($0) = $52.
Last reported payment date: 2024-08-14 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($30).
Total Amount
$52
General + Research + Ownership
Payments
3
Total payment records
General Amount
$52
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $30 |
| Amgen Inc. | $21 |
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: 2011-11-15
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 |
|---|---|---|---|---|
| I20111115000036 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 81147)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | CO | |
| Nurse Practitioner | CO | |
| Family Practice, Obstetrics/Gynecology | CO | |
| Family Practice | HI | |
| - | CO | |
| Family Practice | CO | |
| Family Practice | CO | |
| A N E S T H E S I O L O G Y | CO | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | CO |
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