LISA LYNN JOHNSON (APRN) – Family Nurse Practitioner, NPI 1043652217
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,550 NURSE PRACTITIONER in KS
Provider Addresses for LISA LYNN JOHNSON (APRN)
2600 OTTAWA RD
NEODESHA, KS 667571897
Phone: (620) 325-2611
Fax: (620) 325-8460
Type: Location
1301 W 12th Ave Ste 110
Emporia, KS 668012587
Phone: (620) 343-7828
Fax: (620) 341-9505
Type: Location
2600 Ottawa Rd
Neodesha, KS 667571897
Phone: (620) 325-2611
Fax: (620) 325-8460
Type: Location
1201 W 12TH AVE
EMPORIA, KS 668012504
Phone: (620) 343-6800
Fax: (620) 341-7821
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $260.
Total Amount is formed as General ($260) + Research ($0) + Ownership ($0) = $260.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($104).
Total Amount
$260
General + Research + Ownership
Payments
13
Total payment records
General Amount
$260
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
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: 2013-10-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-10-31 (952 days ago).
Enrollment records
1
Earliest due date
2023-10-31
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 |
|---|---|---|---|---|
| I20131024000142 | I | Nurse Practitioner | KS | 2023-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 66757)
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