TRACEY L. JOHNSON (N.P.) – Adult Health Nurse Practitioner, NPI 1548274087

TRACEY L. JOHNSON (N.P.) is a healthcare provider. based in Beverly, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. NP 204973 (MA). The NPI Number for TRACEY L. JOHNSON (N.P.) is 1548274087

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
TRACEY L. JOHNSON (N.P.)
NPI
1548274087
Phone
(978) 524-8181
Address
100 CUMMINGS CTR
Enumeration Date
28 July 2006
Last Update Date
23 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9784687381
Graduation Year
2000 (26 years ago)
PAC ID
4688610819
Group Practice PAC ID
7719291434
Professional Enrollment ID
I20050628001172
Address ID
MA019822218SO15XXXAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

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Provider Addresses for TRACEY L. JOHNSON (N.P.)

  • 100 Cummings Center, Cummings Center, Rial Side, Beverly, Essex County, Massachusetts, 01915-4202, United States

    SUITE 126Q

    BEVERLY, MA 019156115

    Phone: (978) 524-8181

    Type: Location

  • Lahey Hospital & Medical Center, 41, Burlington Mall Road, Burlington, Middlesex County, Massachusetts, 01805, United States

    41 MALL ROAD

    BURLINGTON, MA 018050001

    Phone: (781) 744-8580

    Fax: (781) 744-5253

    Type: Mailing

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: 2005-06-28

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
I20050628001172INurse PractitionerMATBD

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 minutes148136$0
99215Established patient office or other outpatient visit, 40-54 minutes5349$0
99443Telephone medical discussion with physician, 21-30 minutes3633$0
99213Established patient office or other outpatient visit, 20-29 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 01915)

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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: 7719291434View full group profile
NameSpecialtyState
Family PracticeMA
Nurse PractitionerMA
Nurse PractitionerMA
Family PracticeMA
Internal MedicineNH
Nurse PractitionerMA
Family PracticeMA
Family PracticeMA
Physician AssistantMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

What unique ID ties claims to TRACEY L. JOHNSON (N.P.)?
NPI 1548274087 is assigned to TRACEY L. JOHNSON (N.P.) under the national enumeration system.
Is TRACEY L. JOHNSON (N.P.) active in the national directory?
TRACEY L. JOHNSON (N.P.)'s public NPI profile is in an active state.
Can you summarize TRACEY L. JOHNSON (N.P.)'s specialty in plain language?
Clinically, the directory lists TRACEY L. JOHNSON (N.P.) with Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for TRACEY L. JOHNSON (N.P.)?
We surface Beverly, Massachusetts for TRACEY L. JOHNSON (N.P.) based on available NPPES addresses.
Is TRACEY L. JOHNSON (N.P.) a real provider?
This page reflects official NPPES data for NPI 1548274087. Always confirm identity and privileges with the practice and licensing boards.

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