DAVID P JOHNSON (FNP-C) – Family Nurse Practitioner, NPI 1174237705

DAVID P JOHNSON (FNP-C) is a healthcare provider. based in Plymouth, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 71013448A (IN). The NPI Number for DAVID P JOHNSON (FNP-C) is 1174237705

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
DAVID P JOHNSON (FNP-C)
NPI
1174237705
Phone
(574) 936-1916
Address
10229 CARRIAGE CT
Enumeration Date
9 January 2023
Last Update Date
8 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5749462194
Graduation Year
2022 (4 years ago)
PAC ID
7810360732
Group Practice PAC ID
3173515509
Professional Enrollment ID
I20230223002133
Address ID
IN469961173WI540XXDRXX300

Contacts

Secure Messaging
djohnson@pmhnet.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness95
Years active:3State licenses:1Other names

8,192 NURSE PRACTITIONER in IN

Provider Addresses for DAVID P JOHNSON (FNP-C)

  • 10229 CARRIAGE CT

    PLYMOUTH, IN 465639191

    Phone: (574) 936-1916

    Type: Mailing

  • 540 HOSPITAL DR

    WINAMAC, IN 469961173

    Phone: (574) 946-2194

    Fax: (546) 946-2143

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $73.

Total Amount is formed as General ($73) + Research ($0) + Ownership ($0) = $73.

Last reported payment date: 2024-05-16 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($39).

Total Amount

$73

General + Research + Ownership

Payments

4

Total payment records

General Amount

$73

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-16

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: 2023-02-23

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
I20230223002133INurse PractitionerINTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes9382$0
99214Established patient office or other outpatient visit, 30-39 minutes3927$0
36415Insertion of needle into vein for collection of blood sample2118$0
99204New patient office or other outpatient visit, 45-59 minutes1414$0
99203New patient office or other outpatient visit, 30-44 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 46563)

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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: 3173515509View full group profile
NameSpecialtyState
Family Practice, Obstetrics/GynecologyIN
Clinical Social WorkerIN
O P H T H A L M O L O G YIN
-IN
Nurse PractitionerIN
Emergency Medicine, General SurgeryMI
Nurse PractitionerIN
Clinical Social WorkerIN
-IN
Family PracticeIN

Reviews

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Frequently asked questions

Is there an official ID for DAVID P JOHNSON (FNP-C) in U.S. healthcare records?
The official identifier for DAVID P JOHNSON (FNP-C) is NPI 1174237705.
Is there an active status for DAVID P JOHNSON (FNP-C)?
For scheduling context, DAVID P JOHNSON (FNP-C) is shown as active in the registry.
What kind of doctor is DAVID P JOHNSON (FNP-C)?
DAVID P JOHNSON (FNP-C) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is DAVID P JOHNSON (FNP-C) located near Plymouth?
DAVID P JOHNSON (FNP-C) currently maps to Plymouth, Indiana in this extract.
Can I trust this NPI listing for DAVID P JOHNSON (FNP-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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