MRS. PAULA A JOHNSON (APRN) – Pediatric Nurse Practitioner, NPI 1609841527
Pediatric Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
8,191 NURSE PRACTITIONER in IN
Provider Addresses for MRS. PAULA A JOHNSON (APRN)
3900 WASHINGTON AVE # 100
EVANSVILLE, IN 477140550
Phone:
Type: Mailing
720 2nd Ave Ste 102
Bowling Green, KY 421011778
Phone: (502) 588-3650
Fax: (502) 588-7852
Type: Location
Music Box Theatre, 3733, North Southport Avenue, Wrigleyville, Lake View, Lakeview, Chicago, Lake View Township, Cook County, Illinois, 60613, United States
CHICAGO, IL 606776879
Phone: (502) 588-9490
Fax: (502) 272-5116
Type: Mailing
East 2nd Avenue, Bowling Green, Warren County, Kentucky, 42101, United States
BOWLING GREEN, KY 421011778
Phone: (502) 588-3650
Fax: (502) 588-7852
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $448.
Total Amount is formed as General ($448) + Research ($0) + Ownership ($0) = $448.
Last reported payment date: 2024-11-22 • Largest payer in this snapshot: UCB, Inc. ($220).
Total Amount
$448
General + Research + Ownership
Payments
11
Total payment records
General Amount
$448
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-22
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2015-10-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20061025000705 | I | Nurse Practitioner | KY | TBD |
| I20151013001334 | I | Nurse Practitioner | 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 47714)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Pediatric Medicine | IL | |
| - | KY | |
| Cardiovascular Disease (Cardiology) | IL | |
| - | KY | |
| - | KY | |
| O B S T E T R I C S/ G Y N E C O L O G Y | KY | |
| Diagnostic Radiology | IL | |
| Pediatric Medicine | IL | |
| Endocrinology, Internal Medicine, Pediatric Medicine | KY |
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