LYNSEY A. JOHNSON – Family Nurse Practitioner, NPI 1881839116
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for LYNSEY A. JOHNSON
410 N MAIN ST STE 1AND2
CHIEFLAND, FL 326260866
Phone: (352) 493-7274
Type: Location
4600 Touchton Rd E Ste 150
Jacksonville, FL 322468299
Phone: (904) 586-1964
Fax: (888) 597-2357
Type: Location
Northwest County Road 236, High Springs, Alachua County, Florida, 32643-6902, United States
HIGH SPRINGS, FL 326439669
Phone: (386) 454-0698
Fax: (386) 454-0690
Type: Mailing
528 SCOTT BLVD
DECATUR, GA 300302353
Phone: (912) 531-1019
Type: Mailing
1201 W PEACHTREE ST NW STE 2300
ATLANTA, GA 303093453
Phone: (904) 586-1964
Fax: (888) 597-2357
Type: Location
4600 TOUCHTON RD E STE 150
JACKSONVILLE, FL 322468299
Phone: (904) 586-1964
Fax: (888) 597-2357
Type: Location
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: 2020-01-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171213000861 | I | Nurse Practitioner | FL | TBD |
| I20200124001920 | I | Nurse Practitioner | GA | 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 32626)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | CA | |
| Internal Medicine | GA | |
| Physician Assistant | FL | |
| Interventional Radiology, Diagnostic Radiology | KY | |
| Anesthesiology Assistant | GA | |
| - | CA | |
| D E R M A T O L O G Y | GA | |
| Interventional Radiology, Diagnostic Radiology | NC | |
| Physician Assistant | GA | |
| - | GA |
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