ANDREA LYNNE JOHNSON (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1477142289

ANDREA LYNNE JOHNSON (PMHNP-BC) is a healthcare provider. based in Waverly, Iowa. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. G161921 (IA). The NPI Number for ANDREA LYNNE JOHNSON (PMHNP-BC) is 1477142289

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
ANDREA LYNNE JOHNSON (PMHNP-BC)
NPI
1477142289
Phone
(319) 352-1353
Address
PO BOX 114
Enumeration Date
15 January 2021
Last Update Date
15 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3192356571
Graduation Year
2020 (6 years ago)
PAC ID
5294149001
Group Practice PAC ID
3779582796
Professional Enrollment ID
I20210205000785
Address ID
IA506772925WA111XXSWXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

3,532 NURSE PRACTITIONER in IA

Provider Addresses for ANDREA LYNNE JOHNSON (PMHNP-BC)

  • PO BOX 114

    WAVERLY, IA 506770114

    Phone: (319) 352-1353

    Type: Mailing

  • 111 10TH ST SW

    WAVERLY, IA 506772925

    Phone: (319) 352-1353

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 268 Open Payments records for all available years, with a total value of $3,237.

Total Amount is formed as General ($3,237) + Research ($0) + Ownership ($0) = $3,237.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Alkermes, Inc. ($442).

Total Amount

$3,237

General + Research + Ownership

Payments

268

Total payment records

General Amount

$3,237

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

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: 2021-02-05

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
I20210205000785INurse PractitionerIATBD

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
90834Psychotherapy, 45 minutes29445$0
99214Established patient office or other outpatient visit, 30-39 minutes22363$0
90792Psychiatric diagnostic evaluation with medical services2323$0
View full utilization report →

Insurance plans in this area (ZIP 50677)

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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: 3779582796View full group profile
NameSpecialtyState
Mental Health CounselorIA
Clinical Social WorkerIA
Clinical Social WorkerIA
Mental Health CounselorIA
-IA
Nurse PractitionerIA
Clinical Social WorkerIA
Mental Health CounselorIA
Mental Health CounselorIA
Clinical Social WorkerIA

Reviews

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Frequently asked questions

Does ANDREA LYNNE JOHNSON (PMHNP-BC) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ANDREA LYNNE JOHNSON (PMHNP-BC) uses 1477142289.
Does CMS list ANDREA LYNNE JOHNSON (PMHNP-BC) as active?
Yes — ANDREA LYNNE JOHNSON (PMHNP-BC) is active in the NPI listing used on this page.
What is ANDREA LYNNE JOHNSON (PMHNP-BC)'s specialty?
The listing groups ANDREA LYNNE JOHNSON (PMHNP-BC) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is ANDREA LYNNE JOHNSON (PMHNP-BC) based?
ANDREA LYNNE JOHNSON (PMHNP-BC) is tied to Waverly, Iowa in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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