MS. JOHNNIE WINIFRED PARKER (FNP) – Family Nurse Practitioner, NPI 1073051942

MS. JOHNNIE WINIFRED PARKER (FNP) is a healthcare provider. based in Saint james, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 151094 (MO). The NPI Number for MS. JOHNNIE WINIFRED PARKER (FNP) is 1073051942

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MS. JOHNNIE WINIFRED PARKER (FNP)
NPI
1073051942
Phone
(573) 263-4681
Address
220 E WASHINGTON ST
Enumeration Date
10 February 2017
Last Update Date
6 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5734333559
Graduation Year
2017 (9 years ago)
PAC ID
5597710699
Group Practice PAC ID
1355513581
Professional Enrollment ID
I20190509002556
Address ID
MO655847860SA165XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:9State licenses:2Digital endpointsOther names

7,023 NURSE PRACTITIONER in MO

Provider Addresses for MS. JOHNNIE WINIFRED PARKER (FNP)

  • 220, East Washington Street, St. James, Phelps County, Missouri, 65559, United States

    SAINT JAMES, MO 655591726

    Phone: (573) 263-4681

    Type: Mailing

  • 1081 E 18TH ST

    ROLLA, MO 654012448

    Phone: (573) 458-7800

    Type: Location

  • Phelps County Regional Medical Center, 1000, West 10th Street, Rolla, Phelps County, Missouri, 65401, United States

    ROLLA, MO 654012905

    Phone: (573) 458-7800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $319.

Total Amount is formed as General ($319) + Research ($0) + Ownership ($0) = $319.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Braeburn Inc. ($61).

Total Amount

$319

General + Research + Ownership

Payments

17

Total payment records

General Amount

$319

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

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: 2019-05-09

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
I20190509002556INurse PractitionerMOTBD

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
83037Hemoglobin a1c level, by device for home use2715$0
View full utilization report →

Insurance plans in this area (ZIP 65559)

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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: 1355513581View full group profile
NameSpecialtyState
Nurse PractitionerMO
Family PracticeMO
Nurse PractitionerMO
Nurse PractitionerMO
Family PracticeMO
Nurse PractitionerKS
Nurse PractitionerIL
General PracticeMO
Family PracticeMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

Can I cross-check MS. JOHNNIE WINIFRED PARKER (FNP) using NPI 1073051942?
NPI 1073051942 belongs to MS. JOHNNIE WINIFRED PARKER (FNP); compare other details if you need extra assurance.
Is MS. JOHNNIE WINIFRED PARKER (FNP) still an active registrant?
MS. JOHNNIE WINIFRED PARKER (FNP) carries an active NPI according to the public dataset.
How would a patient describe MS. JOHNNIE WINIFRED PARKER (FNP)'s focus?
For MS. JOHNNIE WINIFRED PARKER (FNP), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MS. JOHNNIE WINIFRED PARKER (FNP) located near Saint James?
MS. JOHNNIE WINIFRED PARKER (FNP) currently maps to Saint James, Missouri in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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