CAROLYN ILENE JOHNSON (NURSE PRACTITIONER) – Nurse Practitioner, NPI 1134417280
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,529 NURSE PRACTITIONER in IA
Provider Addresses for CAROLYN ILENE JOHNSON (NURSE PRACTITIONER)
516 DIVISION ST STE 110
CEDAR FALLS, IA 506132381
Phone: (319) 268-3550
Fax: (319) 268-3855
Type: Location
5228 E EAGLE RD
LA PORTE CITY, IA 506512116
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $17.
Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.
Last reported payment date: 2024-04-09 • Largest payer in this snapshot: Astellas Pharma US Inc ($17).
Total Amount
$17
General + Research + Ownership
Payments
1
Total payment records
General Amount
$17
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $17 |
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: 2011-08-25
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 |
|---|---|---|---|---|
| I20110825000732 | I | Nurse Practitioner | IA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 353 | 210 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 170 | 121 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 89 | 89 | $0 |
| 93793 | Anticoagulant management of patient taking warfarin | 76 | 20 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 70 | 70 | $0 |
Insurance plans in this area (ZIP 50613)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Internal Medicine | IL | |
| Internal Medicine | IA | |
| Nurse Practitioner | IL | |
| Internal Medicine | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL |
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