DONALD L JOHNSON (ARNP) – Nurse Practitioner, NPI 1972508422
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for DONALD L JOHNSON (ARNP)
641 US HIGHWAY 17 92 W UNIT 631-B
HAINES CITY, FL 338445004
Phone: (863) 419-3322
Type: Mailing
3215 Winter Lake Rd
Lakeland, FL 338039709
Phone: (863) 419-3322
Type: Location
3215 WINTER LAKE RD
LAKELAND, FL 338039709
Phone:
Type: Mailing
109 W WALL ST
FROSTPROOF, FL 338432043
Phone: (866) 234-8534
Type: Location
47 5TH ST NW
WINTER HAVEN, FL 338814672
Phone: (866) 234-8534
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 27 Open Payments records for all available years, with a total value of $558.
Total Amount is formed as General ($558) + Research ($0) + Ownership ($0) = $558.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Novo Nordisk Inc ($97).
Total Amount
$558
General + Research + Ownership
Payments
27
Total payment records
General Amount
$558
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $97 |
| Lilly USA, LLC | $80 |
| Phathom Pharmaceuticals, Inc. | $66 |
| PFIZER INC. | $66 |
| Dexcom, Inc. | $50 |
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: 2026-02-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20040819001029 | I | Nurse Practitioner | FL | TBD |
| I20260206003526 | I | Nurse Practitioner | CO | TBD |
| I20260210000251 | I | Nurse Practitioner | NY | TBD |
| I20260216001622 | I | Nurse Practitioner | MT | 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 33844)
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