JUSTIN SEAN JOHNSON (MD) – Psychiatry Physician, NPI 1174972863
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
529 PSYCHIATRY in IN
Provider Addresses for JUSTIN SEAN JOHNSON (MD)
750 Broadway Ste 350
Fort Wayne, IN 468021412
Phone: (260) 423-2675
Fax: (260) 423-6621
Type: Location
8802 Madison Ave Ste D
Indianapolis, IN 462276400
Phone: (317) 453-7597
Type: Location
121 Buntin St Ste 1
Vincennes, IN 475911320
Phone: (812) 885-2718
Type: Location
Good Samaritan Hospital, 520, South 7th Street, Vincennes, Knox County, Indiana, 47591, United States
VINCENNES, IN 475911038
Phone: (812) 885-3228
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: 2021-09-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210923002003 | I | Psychiatry | IN | 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 46802)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| - | IN | |
| - | IN | |
| - | IN | |
| - | IN | |
| P S Y C H I A T R Y | VA | |
| P S Y C H I A T R Y | CT | |
| Clinical Social Worker | IN | |
| - | IN | |
| - | IN |
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