JOEL JOHNSON (FNP-C) – Family Nurse Practitioner, NPI 1992180582

JOEL JOHNSON (FNP-C) is a healthcare provider. based in Valrico, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. ARNP9212395 (FL). The NPI Number for JOEL JOHNSON (FNP-C) is 1992180582

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
JOEL JOHNSON (FNP-C)
NPI
1992180582
Phone
Not provided
Address
3904 SADDLE RIDGE ST
Enumeration Date
23 July 2015
Last Update Date
4 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8638165884
Graduation Year
2015 (11 years ago)
PAC ID
5597065367
Group Practice PAC ID
5092753632
Professional Enrollment ID
I20151201000053
Address ID
FL338131639LA4315XBLVD403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

Provider Addresses for JOEL JOHNSON (FNP-C)

  • 3904 SADDLE RIDGE ST

    VALRICO, FL 335968444

    Phone:

    Type: Mailing

  • 4315 HIGHLAND PARK BLVD

    STE A

    LAKELAND, FL 338131639

    Phone: (863) 816-5884

    Fax: (863) 940-4856

    Type: Location

  • 6228 KINGBIRD MANOR DR

    LITHIA, FL 335475049

    Phone:

    Type: Mailing

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: 2015-12-01

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
I20151201000053INurse PractitionerFLTBD

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
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes26679$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6556$0
90792Psychiatric diagnostic evaluation with medical services1313$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 33596)

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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: 5092753632View full group profile
NameSpecialtyState
Nurse PractitionerNY
Family PracticeFL
-FL
Internal MedicineFL
Family PracticeFL
Nurse PractitionerFL
Nurse PractitionerFL
-FL
H O S P I T A L I S TFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What number should I use to identify JOEL JOHNSON (FNP-C) for billing?
Administrative and clinical systems typically use NPI 1992180582 for JOEL JOHNSON (FNP-C).
Does the public listing show JOEL JOHNSON (FNP-C) as active?
JOEL JOHNSON (FNP-C)'s NPI record reflects an active status in NPPES.
Which specialty label fits JOEL JOHNSON (FNP-C)?
NPPES ties JOEL JOHNSON (FNP-C) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to JOEL JOHNSON (FNP-C)?
JOEL JOHNSON (FNP-C) shows a connection to Valrico, Florida in registry-derived data.
Why is information missing for JOEL JOHNSON (FNP-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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