JESSICA DANIELLE JOHNSON (APRN) – Family Nurse Practitioner, NPI 1407103898

JESSICA DANIELLE JOHNSON (APRN) is a healthcare provider. based in Morgantown, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 3007592 (KY). The NPI Number for JESSICA DANIELLE JOHNSON (APRN) is 1407103898

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA DANIELLE JOHNSON (APRN)
NPI
1407103898
Phone
(270) 526-9652
Address
234 WEST PORTER ST
Enumeration Date
6 August 2012
Last Update Date
3 August 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2705269652
Graduation Year
2012 (14 years ago)
PAC ID
0547574782
Group Practice PAC ID
2860584208
Professional Enrollment ID
I20150803000363
Address ID
KY422618629MO234XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

Provider Addresses for JESSICA DANIELLE JOHNSON (APRN)

  • 234 WEST PORTER ST

    MORGANTOWN, KY 42261

    Phone: (270) 526-9652

    Fax: (270) 526-9655

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 66 Open Payments records for all available years, with a total value of $1,117.

Total Amount is formed as General ($1,117) + Research ($0) + Ownership ($0) = $1,117.

Last reported payment date: 2024-12-26 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($210).

Total Amount

$1,117

General + Research + Ownership

Payments

66

Total payment records

General Amount

$1,117

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-26

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: 2015-08-03

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
I20150803000363INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes11792$0
J0696Injection, ceftriaxone sodium, per 250 mg9723$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg6015$0
96372Injection of drug or substance under skin or into muscle5737$0
99214Established patient office or other outpatient visit, 30-39 minutes3227$0
View full utilization report →

Insurance plans in this area (ZIP 42261)

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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: 2860584208View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

How is JESSICA DANIELLE JOHNSON (APRN) identified in CMS data?
CMS-hosted NPPES data lists JESSICA DANIELLE JOHNSON (APRN) with NPI 1407103898.
Does CMS list JESSICA DANIELLE JOHNSON (APRN) as active?
Yes — JESSICA DANIELLE JOHNSON (APRN) is active in the NPI listing used on this page.
What is JESSICA DANIELLE JOHNSON (APRN)'s primary classification?
Family Nurse Practitioner is the headline specialty for JESSICA DANIELLE JOHNSON (APRN) here. Clinical services aligned with this taxonomy classification.
What address line appears for JESSICA DANIELLE JOHNSON (APRN)?
JESSICA DANIELLE JOHNSON (APRN)'s geographic hint is Morgantown, Kentucky in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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