MS. LORILEA JOHNSON (APRN) – Family Nurse Practitioner, NPI 1205050010

MS. LORILEA JOHNSON (APRN) is a healthcare provider. based in Jackson, Missouri. specializing in Family Nurse Practitioner. They hold the professional credentials APRN. They hold a License No. 111020 (MO). The NPI Number for MS. LORILEA JOHNSON (APRN) is 1205050010

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
MS. LORILEA JOHNSON (APRN)
NPI
1205050010
Phone
(573) 755-2305
Address
2432 E MAIN ST
Enumeration Date
12 April 2007
Last Update Date
28 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5733344822
Graduation Year
1998 (28 years ago)
PAC ID
6305983800
Group Practice PAC ID
9133024334
Professional Enrollment ID
I20091102000004
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MS. LORILEA JOHNSON (APRN)

  • 2432 E MAIN ST

    JACKSON, MO 637552487

    Phone: (573) 755-2305

    Fax: (573) 519-4650

    Type: Mailing

  • 711 S MOUNT AUBURN RD

    CAPE GIRARDEAU, MO 637036387

    Phone: (573) 686-4151

    Type: Mailing

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: 2023-08-30 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($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

2023-08-30

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: 2009-11-02

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
I20091102000004INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63755)

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Provider's Procedures

MS. LORILEA JOHNSON (APRN) performs procedures in Family Nurse Practitioner. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERMO81002Urinalysis, manual test4341

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: 9133024334View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YKY
Registered Dietitian Or Nutrition ProfessionalMO
Nurse PractitionerMO
-MO
Certified Registered Nurse Anesthetist (Crna)MO
Nurse PractitionerMO
-MO
Certified Registered Nurse Anesthetist (Crna)IL
-MO
O B S T E T R I C S/ G Y N E C O L O G YAR

Reviews

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Frequently asked questions

Can I use this page to confirm MS. LORILEA JOHNSON (APRN)'s NPI?
Yes. MS. LORILEA JOHNSON (APRN) is listed with NPI 1205050010 in the public NPI dataset.
Can I rely on MS. LORILEA JOHNSON (APRN) being an active provider?
As of the registry snapshot, MS. LORILEA JOHNSON (APRN) is marked active.
What is MS. LORILEA JOHNSON (APRN)'s specialty?
The listing groups MS. LORILEA JOHNSON (APRN) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for MS. LORILEA JOHNSON (APRN)?
MS. LORILEA JOHNSON (APRN)'s geographic hint is Jackson, Missouri in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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