AMBER R JOHNSON (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1679158075

AMBER R JOHNSON (APRN) is a healthcare provider. based in Meriden, Connecticut. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 9542 (CT). The NPI Number for AMBER R JOHNSON (APRN) is 1679158075

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
AMBER R JOHNSON (APRN)
NPI
1679158075
Phone
(203) 630-5356
Address
883 PADDOCK AVE
Enumeration Date
17 March 2021
Last Update Date
13 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2036305220
Graduation Year
2020 (6 years ago)
PAC ID
8224430301
Group Practice PAC ID
1153227756
Professional Enrollment ID
I20210712003900
Address ID
CT064507044ME883XXAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

4,191 NURSE PRACTITIONER in CT

Provider Addresses for AMBER R JOHNSON (APRN)

  • 883 PADDOCK AVE

    MERIDEN, CT 064507044

    Phone: (203) 630-5356

    Type: Mailing

  • 80 SEYMOUR ST

    HARTFORD, CT 061063315

    Phone: (860) 545-5000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 216 Open Payments records for all available years, with a total value of $4,269.

Total Amount is formed as General ($4,269) + Research ($0) + Ownership ($0) = $4,269.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($929).

Total Amount

$4,269

General + Research + Ownership

Payments

216

Total payment records

General Amount

$4,269

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2021-07-12

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
I20210712003900INurse PractitionerCTTBD

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
98967Telephone medical discussion provided by nonphysician professional, 11-20 minutes10027$0
99213Established patient office or other outpatient visit, 20-29 minutes3620$0
View full utilization report →

Insurance plans in this area (ZIP 06450)

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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: 1153227756View full group profile
NameSpecialtyState
Mental Health CounselorCT
Mental Health CounselorCT
Nurse PractitionerCT
Nurse PractitionerCT
Nurse PractitionerCT
Clinical Social WorkerCT
-CT
Nurse PractitionerCT
Mental Health CounselorCT
-CT

Reviews

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Frequently asked questions

What NPI should I save for AMBER R JOHNSON (APRN)?
Save NPI 1679158075 if you need a stable reference for AMBER R JOHNSON (APRN).
Is AMBER R JOHNSON (APRN)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does AMBER R JOHNSON (APRN) list a primary specialty?
If you are matching referrals, note Psychiatric/Mental Health Nurse Practitioner for AMBER R JOHNSON (APRN). Clinical services aligned with this taxonomy classification.
Does AMBER R JOHNSON (APRN) practice in Connecticut?
You will see Meriden, Connecticut on file for AMBER R JOHNSON (APRN) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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