ELISE NICOLE JOHNSTON (PA-C) – Medical Physician Assistant, NPI 1639896061

ELISE NICOLE JOHNSTON (PA-C) is a healthcare provider. based in Naples, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9116608 (FL). The NPI Number for ELISE NICOLE JOHNSTON (PA-C) is 1639896061

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
ELISE NICOLE JOHNSTON (PA-C)
NPI
1639896061
Phone
(239) 465-4157
Address
1035 Piper Blvd # 101
Enumeration Date
26 October 2022
Last Update Date
7 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6104026986
Graduation Year
2022 (4 years ago)
PAC ID
2264800929
Group Practice PAC ID
3072425123
Professional Enrollment ID
I20251201001019
Address ID
PA181036271AL1250XBLVD502
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:3State licenses:2Digital endpointsOther names

9,232 PHYSICIAN ASSISTANT in FL

Provider Addresses for ELISE NICOLE JOHNSTON (PA-C)

  • 1035 Piper Blvd # 101

    Naples, FL 341101449

    Phone: (239) 465-4157

    Type: Location

  • 6811 Palisades Park Ct Ste 1

    Fort Myers, FL 339127130

    Phone: (239) 533-5177

    Type: Location

  • 12109 COUNTY ROAD 103

    OXFORD, FL 344842951

    Phone: (352) 504-4623

    Type: Mailing

  • 1250 S CEDAR CREST BLVD STE 215

    ALLENTOWN, PA 181036271

    Phone: (610) 402-6986

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 74 Open Payments records for all available years, with a total value of $4,700.

Total Amount is formed as General ($4,700) + Research ($0) + Ownership ($0) = $4,700.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Axonics, Inc. ($1,917).

Total Amount

$4,700

General + Research + Ownership

Payments

74

Total payment records

General Amount

$4,700

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2025-12-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20221130001943IPhysician AssistantFLTBD
I20251201001019IPhysician AssistantPATBD

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
51798Ultrasound measurement of bladder capacity after voiding400262$0
99213Established patient office or other outpatient visit, 20-29 minutes379262$0
81003Automated urinalysis test336250$0
99214Established patient office or other outpatient visit, 30-39 minutes146127$0
81001Manual urinalysis test with examination using microscope, automated133114$0
View full utilization report →

Insurance plans in this area (ZIP 34110)

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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: 3072425123View full group profile

Reviews

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Frequently asked questions

How do I look up ELISE NICOLE JOHNSTON (PA-C) by NPI?
Use NPI 1639896061 when you need to reference ELISE NICOLE JOHNSTON (PA-C) in forms, claims, or directories.
Is ELISE NICOLE JOHNSTON (PA-C)'s NPI currently valid?
The extract we use shows ELISE NICOLE JOHNSTON (PA-C) as active.
Can you summarize ELISE NICOLE JOHNSTON (PA-C)'s specialty in plain language?
Clinically, the directory lists ELISE NICOLE JOHNSTON (PA-C) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Does ELISE NICOLE JOHNSTON (PA-C) practice in Florida?
You will see Naples, Florida on file for ELISE NICOLE JOHNSTON (PA-C) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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