DANIEL L. JOHNSON (FNP) – Family Nurse Practitioner, NPI 1124199690

DANIEL L. JOHNSON (FNP) is a healthcare provider. based in Lebanon, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 123516 (MO). The NPI Number for DANIEL L. JOHNSON (FNP) is 1124199690

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL L. JOHNSON (FNP)
NPI
1124199690
Phone
(417) 532-2805
Address
441 W ELM ST STE A
Enumeration Date
13 November 2006
Last Update Date
20 November 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4175322805
Graduation Year
1999 (27 years ago)
PAC ID
4880781079
Group Practice PAC ID
9133026776
Professional Enrollment ID
I20071105000494
Address ID
MO655364629LE755XXDRXX300
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

7,017 NURSE PRACTITIONER in MO

Provider Addresses for DANIEL L. JOHNSON (FNP)

  • 441 W ELM ST STE A

    LEBANON, MO 655363573

    Phone: (417) 532-2805

    Fax: (417) 532-2848

    Type: Location

  • Springfield Post Office, 830-832, Stratford Road, Springfield, Greet, Birmingham, West Midlands, England, B11 4SH, United Kingdom

    SPRINGFIELD, MO 658012580

    Phone: (417) 829-4620

    Fax: (417) 829-4316

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $411.

Total Amount is formed as General ($411) + Research ($0) + Ownership ($0) = $411.

Last reported payment date: 2024-08-06 • Largest payer in this snapshot: Abbott Laboratories ($67).

Total Amount

$411

General + Research + Ownership

Payments

24

Total payment records

General Amount

$411

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-06

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: 2007-11-05

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
I20071105000494INurse 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
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month6511$0
View full utilization report →

Insurance plans in this area (ZIP 65536)

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Provider's Procedures

DANIEL L. JOHNSON (FNP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERMO83036Hemoglobin A1C level2323

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: 9133026776View full group profile
NameSpecialtyState
-MO
Nurse PractitionerMO
N E U R O L O G YMO
Nurse PractitionerMO
Hematology/Oncology, Internal MedicineMO
Family PracticeMO
Nurse PractitionerMO
Nurse PractitionerMO
Family PracticeMO
N E U R O L O G YMO

Reviews

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Frequently asked questions

Is there an official ID for DANIEL L. JOHNSON (FNP) in U.S. healthcare records?
The official identifier for DANIEL L. JOHNSON (FNP) is NPI 1124199690.
Is there an active status for DANIEL L. JOHNSON (FNP)?
For scheduling context, DANIEL L. JOHNSON (FNP) is shown as active in the registry.
What clinical focus is listed for DANIEL L. JOHNSON (FNP)?
At a glance, DANIEL L. JOHNSON (FNP) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DANIEL L. JOHNSON (FNP)?
Travel planning: use Lebanon, Missouri as the reference point for DANIEL L. JOHNSON (FNP), then confirm.
Does DANIEL L. JOHNSON (FNP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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