JENNIFER MYIA JOHNSON (M.D.) – Family Medicine Physician, NPI 1710006382

JENNIFER MYIA JOHNSON (M.D.) is a healthcare provider. based in Longmont, Colorado. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 43964 (CO). The NPI Number for JENNIFER MYIA JOHNSON (M.D.) is 1710006382

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER MYIA JOHNSON (M.D.)
NPI
1710006382
Phone
(303) 651-5139
Address
PO BOX 1628
Enumeration Date
28 March 2007
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Secondary Phone
-
Graduation Year
2003 (23 years ago)
PAC ID
9638270499
Group Practice PAC ID
0840282422
Professional Enrollment ID
I20070723000808
Address ID
CO803043769BO2880XSTXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,661 FAMILY PRACTICE in CO

Provider Addresses for JENNIFER MYIA JOHNSON (M.D.)

  • PO BOX 1628

    LONGMONT, CO 805021628

    Phone: (303) 651-5139

    Type: Mailing

  • 2880 FOLSOM ST STE 100

    BOULDER, CO 803043769

    Phone: (303) 327-7047

    Fax: (303) 443-7168

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $173.

Total Amount is formed as General ($173) + Research ($0) + Ownership ($0) = $173.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Amgen Inc. ($106).

Total Amount

$173

General + Research + Ownership

Payments

8

Total payment records

General Amount

$173

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2007-07-23

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
I20070723000808IFamily 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes507194$0
36415Insertion of needle into vein for collection of blood sample12490$0
99213Established patient office or other outpatient visit, 20-29 minutes12392$0
99443Telephone medical discussion with physician, 21-30 minutes7042$0
99442Telephone medical discussion with physician, 11-20 minutes5038$0
View full utilization report →

Insurance plans in this area (ZIP 80502)

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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: 0840282422View full group profile
NameSpecialtyState
Internal MedicineCO
Nurse PractitionerCO
Internal MedicineCO
Physician AssistantCO

Reviews

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Frequently asked questions

What is the registry number for JENNIFER MYIA JOHNSON (M.D.)?
The registry entry for JENNIFER MYIA JOHNSON (M.D.) shows NPI 1710006382.
Quick check: is JENNIFER MYIA JOHNSON (M.D.) active?
Public NPPES data shows JENNIFER MYIA JOHNSON (M.D.) with an active NPI status right now.
How should patients interpret JENNIFER MYIA JOHNSON (M.D.)'s specialty?
The extract shows Family Medicine Physician for JENNIFER MYIA JOHNSON (M.D.). Clinical services aligned with this taxonomy classification.
What city is tied to JENNIFER MYIA JOHNSON (M.D.)?
The directory associates JENNIFER MYIA JOHNSON (M.D.) with Longmont, Colorado. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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