ELIZABETH JO JOHNSON (M.D.) – Family Medicine Physician, NPI 1891784245
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for ELIZABETH JO JOHNSON (M.D.)
PO BOX 587
TWIN FALLS, ID 833030587
Phone: (208) 814-7400
Fax: (208) 814-7491
Type: Mailing
St. Luke's Magic Valley Regional Medical Center, 801, Pole Line Road West, Twin Falls, Twin Falls County, Idaho, 83301, United States
SUITE 3810
TWIN FALLS, ID 833015810
Phone: (208) 814-8500
Fax: (208) 814-8960
Type: Location
215 W YAKIMA STE 3
JEROME, ID 833386164
Phone: (208) 734-1394
Fax: (208) 329-5040
Type: Mailing
2647 Kimberly Rd # 2
Twin Falls, ID 833017976
Phone: (208) 734-1281
Fax: (208) 734-1282
Type: Location
401 BROCKMAN LOOP
JEROME, ID 833386161
Phone: (208) 933-2612
Fax: (208) 933-2614
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: 2005-05-03
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 |
|---|---|---|---|---|
| I20050503000818 | I | Family Practice | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 83303)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | VA | |
| Certified Registered Nurse Anesthetist (Crna) | ID | |
| Clinical Psychologist | ND | |
| A N E S T H E S I O L O G Y | ID | |
| - | UT | |
| Diagnostic Radiology | OR | |
| Physician Assistant | ID | |
| Family Practice | ID | |
| O B S T E T R I C S/ G Y N E C O L O G Y | ID | |
| Nurse Practitioner | ID |
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