JESSICA MARIE JOHNSON (NP-C) – Gerontology Nurse Practitioner, NPI 1760892749
Gerontology Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
8,241 NURSE PRACTITIONER in IN
Provider Addresses for JESSICA MARIE JOHNSON (NP-C)
5415 KNOLLTON RD
INDIANAPOLIS, IN 462282213
Phone:
Type: Mailing
5926 CRAWFORDSVILLE RD
INDIANAPOLIS, IN 462243722
Phone: (317) 653-2730
Fax: (317) 321-1935
Type: Location
1100 Reid Pkwy
Richmond, IN 473741157
Phone: (765) 983-3000
Type: Location
1050 Reid Pkwy Ste 100
Richmond, IN 473741156
Phone: (765) 935-8454
Fax: (765) 935-8453
Type: Location
1100 REID PKWY
RICHMOND, IN 473741157
Phone: (765) 983-3000
Type: Location
1050 REID PKWY STE 100
RICHMOND, IN 473741156
Phone: (765) 935-8454
Fax: (765) 935-8453
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $717.
Total Amount is formed as General ($717) + Research ($0) + Ownership ($0) = $717.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($289).
Total Amount
$717
General + Research + Ownership
Payments
16
Total payment records
General Amount
$717
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sumitomo Pharma America, Inc. | $289 |
| Neurocrine BioSciences, Inc. | $125 |
| Gilead Sciences, Inc. | $121 |
| Mannkind Corporation | $35 |
| Amgen Inc. | $33 |
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: 2014-10-10
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20141010000513 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 188 | 185 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 168 | 163 | $0 |
| 93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 77 | 76 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 76 | 52 | $0 |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 41 | 27 | $0 |
Insurance plans in this area (ZIP 46228)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IL | |
| Nurse Practitioner | IN | |
| - | FL | |
| Family Practice | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| - | IN | |
| Nurse Practitioner | IL |
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