JESSECIA JOHNSON – Acute Care Nurse Practitioner, NPI 1346952173

JESSECIA JOHNSON is a healthcare provider. based in Leitchfield, Kentucky. specializing in NURSE PRACTITIONER. They hold a License No. AP145874 (TX). The NPI Number for JESSECIA JOHNSON is 1346952173

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
JESSECIA JOHNSON
NPI
1346952173
Phone
(270) 259-9555
Address
910 Wallace Ave
Enumeration Date
26 December 2022
Last Update Date
31 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2813335503
Graduation Year
2007 (19 years ago)
PAC ID
6406213396
Group Practice PAC ID
4486711744
Professional Enrollment ID
I20230608000820
Address ID
TX770586302HO18300DRXX400

Contacts

Secure Messaging
jjohnson133380@direct.owensborohealth.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness95
Years active:3State licenses:2Other names

7,347 NURSE PRACTITIONER in KY

Provider Addresses for JESSECIA JOHNSON

  • 910 Wallace Ave

    Leitchfield, KY 427542414

    Phone: (270) 259-9555

    Fax: (270) 259-1669

    Type: Location

  • 1201 Pleasant Valley Rd

    Owensboro, KY 423039811

    Phone: (270) 417-4700

    Type: Location

  • PO BOX 73797

    HOUSTON, TX 772733797

    Phone:

    Type: Mailing

  • 18300 HOUSTON METHODIST DR

    HOUSTON, TX 770586302

    Phone: (281) 333-5503

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-09-23

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
I20230608000820INurse PractitionerTXTBD
I20250923001543INurse PractitionerKYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 42754)

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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: 4486711744View full group profile
NameSpecialtyState
-TX
-TX
Nurse PractitionerTX
Physician AssistantTX
Thoracic Surgery, Vascular SurgeryTX
Medical Oncology, HematologyTX
Internal MedicineTX
General SurgeryNY
G A S T R O E N T E R O L O G YLA
Internal MedicineTX

Reviews

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Frequently asked questions

Is JESSECIA JOHNSON listed with a National Provider Identifier?
Yes — JESSECIA JOHNSON has NPI 1346952173 on file in the registry.
Would JESSECIA JOHNSON appear as active to a payer?
You can treat JESSECIA JOHNSON as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for JESSECIA JOHNSON?
At a glance, JESSECIA JOHNSON is tied to Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is JESSECIA JOHNSON located near Leitchfield?
JESSECIA JOHNSON currently maps to Leitchfield, Kentucky in this extract.
What does 4 location(s) imply?
4 practice locations appear in the available data.