REBECCA L JOHNSON (APN) – Family Nurse Practitioner, NPI 1427397769

REBECCA L JOHNSON (APN) is a healthcare provider. based in Ava, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. A003828 (AR). The NPI Number for REBECCA L JOHNSON (APN) is 1427397769

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
REBECCA L JOHNSON (APN)
NPI
1427397769
Phone
(417) 683-6790
Address
120 W LINCOLN AVE
Enumeration Date
6 February 2013
Last Update Date
25 August 2023

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
2012 (14 years ago)
PAC ID
8628215779
Group Practice PAC ID
3971413360
Professional Enrollment ID
I20230926003633
Address ID
MO656080000AVPOXXXBOXX202
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for REBECCA L JOHNSON (APN)

  • 120 W LINCOLN AVE

    AVA, MO 65608

    Phone: (417) 683-6790

    Fax: (417) 683-6770

    Type: Location

  • PO BOX 865

    AVA, MO 656080865

    Phone: (417) 683-6790

    Fax: (417) 683-6770

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $547.

Total Amount is formed as General ($547) + Research ($0) + Ownership ($0) = $547.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($172).

Total Amount

$547

General + Research + Ownership

Payments

27

Total payment records

General Amount

$547

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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: 2023-09-26

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
I20230926003633INurse 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 65608)

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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: 3971413360View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerMO
Family Practice, Internal MedicineMO

Reviews

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Frequently asked questions

What identifier follows REBECCA L JOHNSON (APN) across health systems?
The NPI 1427397769 uniquely identifies REBECCA L JOHNSON (APN) in U.S. healthcare data.
Does the public listing show REBECCA L JOHNSON (APN) as active?
REBECCA L JOHNSON (APN)'s NPI record reflects an active status in NPPES.
What type of care does REBECCA L JOHNSON (APN) provide?
REBECCA L JOHNSON (APN)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to REBECCA L JOHNSON (APN)?
REBECCA L JOHNSON (APN) is associated with Ava, Missouri in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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