THOMAS III JOHNSON (APRN, CNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1609051168
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
104 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in MN
Provider Addresses for THOMAS III JOHNSON (APRN, CNP)
516 S POKEGAMA AVE
GRAND RAPIDS, MN 557443820
Phone: (218) 302-4468
Fax: (218) 302-1457
Type: Mailing
Northwest 1st Avenue, Pelican Rapids Mobile Home Park, Pelican Rapids, Otter Tail County, Minnesota, United States
GRAND RAPIDS, MN 557442619
Phone: (218) 302-4468
Fax: (218) 302-1457
Type: Location
2310 NW 3rd St
Grand Rapids, MN 557442135
Phone: (218) 302-4468
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $81.
Total Amount is formed as General ($81) + Research ($0) + Ownership ($0) = $81.
Last reported payment date: 2024-08-15 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($34).
Total Amount
$81
General + Research + Ownership
Payments
5
Total payment records
General Amount
$81
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teva Pharmaceuticals USA, Inc. | $34 |
| Axsome Therapeutics, Inc. | $17 |
| ABBVIE INC. | $15 |
| Vanda Pharmaceuticals Inc. | $14 |
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: 2013-10-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20131022001141 | I | Certified Clinical Nurse Specialist (Cns) | MN | TBD |
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.
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 55744)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED CLINICAL NURSE SPECIALIST | MN | 90833 | Psychotherapy, 30 minutes with patient and/or family member | 198 | 73 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MN | |
| Mental Health Counselor | MN | |
| Nurse Practitioner | MN | |
| Mental Health Counselor | MN | |
| Nurse Practitioner | AZ | |
| Clinical Social Worker | TN | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | MN | |
| Clinical Social Worker | MN |
Reviews
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