KRISTIN MARIE JOHNSON (ARNP, AGACNP-BC) – Acute Care Nurse Practitioner, NPI 1992284103

KRISTIN MARIE JOHNSON (ARNP, AGACNP-BC) is a healthcare provider. based in Lakeland, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP, AGACNP-BC. They hold a License No. ARNP9372403 (FL). The NPI Number for KRISTIN MARIE JOHNSON (ARNP, AGACNP-BC) is 1992284103

Main info

Female
9 Years Of Experience
Name
KRISTIN MARIE JOHNSON (ARNP, AGACNP-BC)
NPI
1992284103
Phone
(863) 816-5884
Address
4315 HIGHLAND PARK BLVD
Enumeration Date
8 August 2018
Last Update Date
8 August 2018

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Secondary Phone
7156352111
Graduation Year
2017 (9 years ago)
PAC ID
8921342668
Group Practice PAC ID
2062310287
Professional Enrollment ID
I20240911003219
Address ID
WI548012202SP1280XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

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Provider Addresses for KRISTIN MARIE JOHNSON (ARNP, AGACNP-BC)

  • 4315, Highland Park Boulevard, Fountain Heights, Lakeland, Polk County, Florida, 33813, United States

    SUITE A

    LAKELAND, FL 33813

    Phone: (863) 816-5884

    Fax: (863) 940-4856

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2023-10-10 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-10

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: 2024-09-11

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
I20181206000626INurse PractitionerFLTBD
I20240911003219INurse PractitionerWITBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5553$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3820$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 33813)

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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: 2062310287View full group profile
NameSpecialtyState
General SurgeryWI
Family PracticeWI
Certified Registered Nurse Anesthetist (Crna)MN
Nurse PractitionerWI
Family Practice, Emergency MedicineWI

Reviews

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Frequently asked questions

Can I use this page to confirm KRISTIN MARIE JOHNSON (ARNP, AGACNP-BC)'s NPI?
Yes. KRISTIN MARIE JOHNSON (ARNP, AGACNP-BC) is listed with NPI 1992284103 in the public NPI dataset.
Does CMS list KRISTIN MARIE JOHNSON (ARNP, AGACNP-BC) as active?
Yes — KRISTIN MARIE JOHNSON (ARNP, AGACNP-BC) is active in the NPI listing used on this page.
What is KRISTIN MARIE JOHNSON (ARNP, AGACNP-BC)'s primary classification?
Acute Care Nurse Practitioner is the headline specialty for KRISTIN MARIE JOHNSON (ARNP, AGACNP-BC) here. Clinical services aligned with this taxonomy classification.
What address line appears for KRISTIN MARIE JOHNSON (ARNP, AGACNP-BC)?
KRISTIN MARIE JOHNSON (ARNP, AGACNP-BC)'s geographic hint is Lakeland, Florida in our summary view.
Why does KRISTIN MARIE JOHNSON (ARNP, AGACNP-BC) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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