LESLIE JOHNSON (APRN) – Family Nurse Practitioner, NPI 1104588854

LESLIE JOHNSON (APRN) is a healthcare provider. based in Madisonville, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 3016820 (KY). The NPI Number for LESLIE JOHNSON (APRN) is 1104588854

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
LESLIE JOHNSON (APRN)
NPI
1104588854
Phone
(866) 934-7450
Address
9 E Arch St
Enumeration Date
11 October 2021
Last Update Date
31 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2702166216
Graduation Year
2021 (5 years ago)
PAC ID
3971901224
Group Practice PAC ID
1052792041
Professional Enrollment ID
I20211018001536
Address ID
KY424311553MA436XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

Provider Addresses for LESLIE JOHNSON (APRN)

  • 9 E Arch St

    Madisonville, KY 42431

    Phone: (866) 934-7450

    Type: Location

  • 9510 Ormsby Station Rd Ste 100

    Louisville, KY 402234082

    Phone: (502) 327-9100

    Type: Location

  • 9 E ARCH ST

    MADISONVILLE, KY 424312063

    Phone: (888) 501-9865

    Type: Mailing

  • 1350 N MAIN ST

    MADISONVILLE, KY 424311282

    Phone: (270) 245-2554

    Type: Location

  • 9510 ORMSBY STATION RD STE 100

    LOUISVILLE, KY 402234082

    Phone: (502) 327-9100

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $626.

Total Amount is formed as General ($626) + Research ($0) + Ownership ($0) = $626.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($277).

Total Amount

$626

General + Research + Ownership

Payments

18

Total payment records

General Amount

$626

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2025-01-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211018001536INurse PractitionerKYTBD
I20250127000441INurse PractitionerTNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes18725$0
G2087Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month2911$0
82075Measurement of alcohol level in breath specimen1211$0
View full utilization report →

Insurance plans in this area (ZIP 42431)

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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: 1052792041View full group profile
NameSpecialtyState
Nurse PractitionerKY
Emergency MedicineOH
Nurse PractitionerKY
Nurse PractitionerKY
Internal MedicineCT
Nurse PractitionerKY
Nurse PractitionerKY
Family PracticeKY
Nurse PractitionerKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

What number should I use to identify LESLIE JOHNSON (APRN) for billing?
Administrative and clinical systems typically use NPI 1104588854 for LESLIE JOHNSON (APRN).
Is LESLIE JOHNSON (APRN)'s NPI status active today?
Active status means LESLIE JOHNSON (APRN)'s NPI record is not deactivated in the public file.
What type of care does LESLIE JOHNSON (APRN) provide?
LESLIE JOHNSON (APRN)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to LESLIE JOHNSON (APRN)?
LESLIE JOHNSON (APRN) shows a connection to Madisonville, Kentucky in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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