MRS. VANESSA N. JOHNSON (P.A.) – Medical Physician Assistant, NPI 1245474386

MRS. VANESSA N. JOHNSON (P.A.) is a healthcare provider. based in Kansas city, Missouri. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 2009003502 (MO). The NPI Number for MRS. VANESSA N. JOHNSON (P.A.) is 1245474386

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
MRS. VANESSA N. JOHNSON (P.A.)
NPI
1245474386
Phone
(816) 914-6400
Address
1004 CARONDELET DR
Enumeration Date
20 April 2009
Last Update Date
17 May 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9138718221
Graduation Year
2008 (18 years ago)
PAC ID
1850585761
Group Practice PAC ID
9133499973
Professional Enrollment ID
I20101104000046
Address ID
KS662232925OV7840XSTXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,853 PHYSICIAN ASSISTANT in MO

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Provider Addresses for MRS. VANESSA N. JOHNSON (P.A.)

  • Carondelet Drive, Dallas, Kansas City, Jackson County, Missouri, 66211, United States

    SUITE 330

    KANSAS CITY, MO 641144801

    Phone: (816) 914-6400

    Fax: (816) 941-6404

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 228 Open Payments records for all available years, with a total value of $4,220.

Total Amount is formed as General ($4,220) + Research ($0) + Ownership ($0) = $4,220.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($616).

Total Amount

$4,220

General + Research + Ownership

Payments

228

Total payment records

General Amount

$4,220

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2010-11-04

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
I20101104000046IPhysician AssistantKSTBD

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
17003Destruction of precancer skin growth, 2-14 growths773155$0
17000Destruction of precancer skin growth, 1 growth290214$0
99213Established patient office or other outpatient visit, 20-29 minutes288240$0
99214Established patient office or other outpatient visit, 30-39 minutes232183$0
11102Biopsy of related skin growth, first growth8785$0
View full utilization report →

Insurance plans in this area (ZIP 64114)

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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: 9133499973View full group profile
NameSpecialtyState
Dermatology, Micrographic Dermatologic Surgery (Mds)OR
Physician AssistantCA
Nurse PractitionerMO
Nurse PractitionerNY
Nurse PractitionerKS
D E R M A T O L O G YGA
D E R M A T O L O G YIA

Reviews

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Frequently asked questions

What federal number belongs to MRS. VANESSA N. JOHNSON (P.A.)?
The federal identifier for MRS. VANESSA N. JOHNSON (P.A.) is NPI 1245474386.
Is MRS. VANESSA N. JOHNSON (P.A.)'s NPI currently valid?
The extract we use shows MRS. VANESSA N. JOHNSON (P.A.) as active.
Can you summarize MRS. VANESSA N. JOHNSON (P.A.)'s specialty in plain language?
Clinically, the directory lists MRS. VANESSA N. JOHNSON (P.A.) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is MRS. VANESSA N. JOHNSON (P.A.)'s primary listing?
We display Kansas City, Missouri because that is what the record indicates for MRS. VANESSA N. JOHNSON (P.A.).
How can I contact MRS. VANESSA N. JOHNSON (P.A.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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