JENNIFER JOHNSON (FNP-C) – Family Nurse Practitioner, NPI 1134974686

JENNIFER JOHNSON (FNP-C) is a healthcare provider. based in Yazoo city, Mississippi. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 906620 (MS). The NPI Number for JENNIFER JOHNSON (FNP-C) is 1134974686

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER JOHNSON (FNP-C)
NPI
1134974686
Phone
(662) 746-8962
Address
230 Wyeth Ln
Enumeration Date
18 April 2024
Last Update Date
3 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3379919276
Graduation Year
2023 (3 years ago)
PAC ID
0840721379
Group Practice PAC ID
7911441126
Professional Enrollment ID
I20241008001444
Address ID
MS392323339FL232XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness85
Years active:2State licenses:1Digital endpointsOther names

4,566 NURSE PRACTITIONER in MS

Provider Addresses for JENNIFER JOHNSON (FNP-C)

  • 230 Wyeth Ln

    Yazoo City, MS 391944653

    Phone: (662) 746-8962

    Fax: (662) 746-8964

    Type: Location

  • 591 BLUE RUIN RD

    LOUISE, MS 390973100

    Phone:

    Type: Mailing

  • 1190 N STATE ST STE 502

    JACKSON, MS 392022414

    Phone: (601) 944-1781

    Fax: (601) 353-0439

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2024-10-21 • Largest payer in this snapshot: VERTEX PHARMACEUTICALS INCORPORATED ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-21

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: 2024-10-08

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
I20241008001444INurse PractitionerMSTBD

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 39194)

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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: 7911441126View full group profile
NameSpecialtyState
Internal MedicineAR
Nurse PractitionerMS
Nurse PractitionerMS
Nurse PractitionerMS
Nurse PractitionerKY
Internal MedicineMS
Nurse PractitionerMS
Nurse PractitionerMS

Reviews

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Frequently asked questions

What is the registry number for JENNIFER JOHNSON (FNP-C)?
The registry entry for JENNIFER JOHNSON (FNP-C) shows NPI 1134974686.
Should I treat JENNIFER JOHNSON (FNP-C) as an active provider?
Patients and plans typically see JENNIFER JOHNSON (FNP-C) as active in the national extract.
What services align with JENNIFER JOHNSON (FNP-C)'s listing?
JENNIFER JOHNSON (FNP-C)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to JENNIFER JOHNSON (FNP-C)?
JENNIFER JOHNSON (FNP-C) shows a connection to Yazoo City, Mississippi in registry-derived data.
Why is information missing for JENNIFER JOHNSON (FNP-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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