AMY DAWNETTE JOHNSON (RN) – Family Nurse Practitioner, NPI 1144557653
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,798 NURSE PRACTITIONER in ID
Provider Addresses for AMY DAWNETTE JOHNSON (RN)
415 6TH STREET
ATTN: PHYSICIAN SERVICES
LEWISTON, ID 835012424
Phone: (208) 750-7462
Fax: (208) 750-7467
Type: Mailing
2315 8TH ST
LEWISTON, ID 835017301
Phone: (208) 799-5370
Fax: (833) 941-3874
Type: Location
307 SAINT JOHNS WAY STE 17
LEWISTON, ID 835012435
Phone: (208) 746-7055
Type: Mailing
222 SOUTHWAY AVE STE 2B
LEWISTON, ID 835012703
Phone: (208) 799-5370
Type: Location
341 SAINT JOHNS WAY
LEWISTON, ID 835012436
Phone: (208) 750-7462
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: 2017-12-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171211001507 | I | Nurse Practitioner | ID | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 484 | 250 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 178 | 178 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 121 | 85 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 107 | 79 | $0 |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 31 | 11 | $0 |
Insurance plans in this area (ZIP 83501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | UT | |
| - | ID | |
| Interventional Radiology | WA | |
| Nurse Practitioner | WA | |
| Family Practice | ID | |
| - | ID | |
| Nurse Practitioner | ID | |
| H E M A T O L O G Y/ O N C O L O G Y | ID | |
| General Surgery | CO | |
| Orthopedic Surgery | ID |
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