JOHNNA MARR – Psychiatric/Mental Health Nurse Practitioner, NPI 1457995839

JOHNNA MARR is a healthcare provider. based in Scottsville, Kentucky. specializing in NURSE PRACTITIONER. They hold a License No. 3014000 (KY). The NPI Number for JOHNNA MARR is 1457995839

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
JOHNNA MARR
NPI
1457995839
Phone
(270) 618-0644
Address
173 MARR PERKINS RD
Enumeration Date
29 October 2019
Last Update Date
29 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2708431199
Graduation Year
2019 (7 years ago)
PAC ID
0042641284
Group Practice PAC ID
7810987336
Professional Enrollment ID
I20200504001202
Address ID
KY421039581BO1035XPIKE300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

Provider Addresses for JOHNNA MARR

  • 173 MARR PERKINS RD

    SCOTTSVILLE, KY 421647449

    Phone: (270) 618-0644

    Type: Mailing

  • 1035 PORTER PIKE

    BOWLING GREEN, KY 421039581

    Phone: (270) 843-1199

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $477.

Total Amount is formed as General ($477) + Research ($0) + Ownership ($0) = $477.

Last reported payment date: 2024-12-21 • Largest payer in this snapshot: ABBVIE INC. ($188).

Total Amount

$477

General + Research + Ownership

Payments

15

Total payment records

General Amount

$477

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-21

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: 2020-05-04

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
I20200504001202INurse 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 42164)

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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: 7810987336View full group profile
NameSpecialtyState
P S Y C H I A T R YKY
-KY
P S Y C H I A T R YKY
P S Y C H I A T R YKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

How is JOHNNA MARR identified in CMS data?
CMS-hosted NPPES data lists JOHNNA MARR with NPI 1457995839.
Does the file indicate JOHNNA MARR is practicing under active NPI?
Directory data currently reports JOHNNA MARR as active.
What is JOHNNA MARR's specialty?
The listing groups JOHNNA MARR with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does JOHNNA MARR list a practice location?
Patients near Scottsville, Kentucky may find JOHNNA MARR in results; validate coverage separately.
Why does JOHNNA MARR have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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