CIERRA D JOHNSON (PA-C) – Physician Assistant, NPI 1114550308

CIERRA D JOHNSON (PA-C) is a healthcare provider. based in Carol stream, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for CIERRA D JOHNSON (PA-C) is 1114550308

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
CIERRA D JOHNSON (PA-C)
NPI
1114550308
Phone
(630) 808-1363
Address
455 MINNESOTA CIR
Enumeration Date
17 February 2020
Last Update Date
21 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7737941000
Graduation Year
2019 (7 years ago)
PAC ID
6901274679
Group Practice PAC ID
8729064159
Professional Enrollment ID
I20221130002431
Address ID
IL606411651CH4211XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:6State licenses:0Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for CIERRA D JOHNSON (PA-C)

  • 455 MINNESOTA CIR

    CAROL STREAM, IL 601889217

    Phone: (630) 808-1363

    Type: Mailing

  • 121 S WILKE RD STE 600

    ARLINGTON HEIGHTS, IL 600051529

    Phone: (874) 749-2248

    Type: Location

  • 585 PLUM GROVE RD APT 2B

    ROSELLE, IL 601721339

    Phone: (630) 808-1363

    Type: Mailing

  • 13448 CICERO AVE

    CRESTWOOD, IL 604181430

    Phone: (708) 682-3384

    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: 2022-11-30

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
I20221130002431IPhysician AssistantILTBD

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
99203New patient office or other outpatient visit, 30-44 minutes4141$0
99213Established patient office or other outpatient visit, 20-29 minutes3129$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)1919$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)1818$0
View full utilization report →

Insurance plans in this area (ZIP 60188)

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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: 8729064159View full group profile
NameSpecialtyState
Physician AssistantIL
-IL
-IL
Physician AssistantMI
Physician AssistantIL
-NY
Physician AssistantIL
Nurse PractitionerIL
Nurse PractitionerIL
Physician AssistantMI

Reviews

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Frequently asked questions

What number should I use to identify CIERRA D JOHNSON (PA-C) for billing?
Administrative and clinical systems typically use NPI 1114550308 for CIERRA D JOHNSON (PA-C).
Should I treat CIERRA D JOHNSON (PA-C) as an active provider?
Patients and plans typically see CIERRA D JOHNSON (PA-C) as active in the national extract.
What does the directory say CIERRA D JOHNSON (PA-C) does?
Insurance directories may phrase it differently, but here CIERRA D JOHNSON (PA-C) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
Is CIERRA D JOHNSON (PA-C) tied to Carol Stream, Illinois?
If you are local to Carol Stream, Illinois, CIERRA D JOHNSON (PA-C) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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