DR. KRISTIN JOHNSON (MD) – Emergency Medicine Physician, NPI 1780864686

DR. KRISTIN JOHNSON (MD) is a healthcare provider. based in Arlington heights, Illinois. specializing in Emergency Medicine Physician. They hold the professional credentials MD. They hold a License No. 036119171 (IL). The NPI Number for DR. KRISTIN JOHNSON (MD) is 1780864686

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. KRISTIN JOHNSON (MD)
NPI
1780864686
Phone
(847) 618-3040
Address
800 W CENTRAL RD
Enumeration Date
7 November 2007
Last Update Date
10 July 2018

Doctor Profile

Medical School Name
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Secondary Phone
9417822100
Graduation Year
2005 (21 years ago)
PAC ID
7517030703
Group Practice PAC ID
3870853054
Professional Enrollment ID
I20150204001151
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for DR. KRISTIN JOHNSON (MD)

  • Northwest Community Hospital, 800, West Central Road, Arlington Heights, Wheeling Township, Cook County, Illinois, 60005, United States

    ARLINGTON HEIGHTS, IL 600052349

    Phone: (847) 618-3040

    Type: Mailing

  • Doctors Hospital of Sarasota, 5731, Bee Ridge Road, Sarasota County, Florida, 34233, United States

    SARASOTA, FL 34233

    Phone: (941) 342-1025

    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: 2015-02-04

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
I20150204001151IEmergency MedicineFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60005)

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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: 3870853054View full group profile

Reviews

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Frequently asked questions

How do I look up DR. KRISTIN JOHNSON (MD) by NPI?
Use NPI 1780864686 when you need to reference DR. KRISTIN JOHNSON (MD) in forms, claims, or directories.
Is DR. KRISTIN JOHNSON (MD) currently active in the NPI registry?
CMS-published data lists DR. KRISTIN JOHNSON (MD) as an active registrant.
Does DR. KRISTIN JOHNSON (MD) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for DR. KRISTIN JOHNSON (MD). Clinical services aligned with this taxonomy classification.
Where is DR. KRISTIN JOHNSON (MD)'s primary listing?
We display Arlington Heights, Illinois because that is what the record indicates for DR. KRISTIN JOHNSON (MD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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