DENISE SMITH JOHNSON (PA-C) – Physician Assistant, NPI 1124226147

DENISE SMITH JOHNSON (PA-C) is a healthcare provider. based in Waldorf, Maryland. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. C0002293 (MD). The NPI Number for DENISE SMITH JOHNSON (PA-C) is 1124226147

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
DENISE SMITH JOHNSON (PA-C)
NPI
1124226147
Phone
(301) 843-2223
Address
12101 OLD LINE CTR
Enumeration Date
11 July 2007
Last Update Date
18 June 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3018432223
Graduation Year
2000 (26 years ago)
PAC ID
3173812484
Group Practice PAC ID
2062406085
Professional Enrollment ID
I20160510000508
Address ID
MD206013647WA3600XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

3,366 PHYSICIAN ASSISTANT in MD

Provider Addresses for DENISE SMITH JOHNSON (PA-C)

  • 12101 OLD LINE CTR

    WALDORF, MD 206022552

    Phone: (301) 843-2223

    Fax: (301) 705-9720

    Type: Location

  • 5406, Ingleboro Court, Capitol Heights, Prince George's County, Maryland, 20743, United States

    CAPITOL HEIGHTS, MD 207433047

    Phone: (301) 735-1792

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 146 Open Payments records for all available years, with a total value of $3,629.

Total Amount is formed as General ($3,629) + Research ($0) + Ownership ($0) = $3,629.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: GENZYME CORPORATION ($820).

Total Amount

$3,629

General + Research + Ownership

Payments

146

Total payment records

General Amount

$3,629

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2018-12-14

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
I20160510000508IPhysician AssistantMDTBD
I20181214001298IPhysician AssistantDCTBD

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
95004Test for allergy using allergenic extract4,20557$0
95165Professional service for preparation and provision of 1 or more antigens1,18038$0
99213Established patient office or other outpatient visit, 20-29 minutes12681$0
94010Test to measure expiratory airflow and volume8255$0
99203New patient office or other outpatient visit, 30-44 minutes3636$0
View full utilization report →

Insurance plans in this area (ZIP 20602)

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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: 2062406085View full group profile
NameSpecialtyState
A L L E R G Y/ I M M U N O L O G YMD

Reviews

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Frequently asked questions

How do payers reference DENISE SMITH JOHNSON (PA-C)?
For DENISE SMITH JOHNSON (PA-C), use NPI 1124226147 as the unique 10-digit identifier.
Is DENISE SMITH JOHNSON (PA-C) shown as active in public data?
Registry records indicate DENISE SMITH JOHNSON (PA-C) maintains an active NPI.
What area of care is associated with DENISE SMITH JOHNSON (PA-C)?
DENISE SMITH JOHNSON (PA-C)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Maryland is DENISE SMITH JOHNSON (PA-C) registered?
Use Waldorf, Maryland as the headline location for DENISE SMITH JOHNSON (PA-C) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.