STACIE R. JOHNSON (APRN) – Family Nurse Practitioner, NPI 1205212677
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,112 NURSE PRACTITIONER in NE
Provider Addresses for STACIE R. JOHNSON (APRN)
7261 MERCY RD
OMAHA, NE 681242311
Phone: (402) 398-6248
Fax: (402) 829-8513
Type: Mailing
7710 MERCY RD STE 3000
OMAHA, NE 681242350
Phone: (402) 717-9600
Fax: (402) 717-6014
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 129 Open Payments records for all available years, with a total value of $3,671.
Total Amount is formed as General ($3,671) + Research ($0) + Ownership ($0) = $3,671.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Medtronic, Inc. ($1,675).
Total Amount
$3,671
General + Research + Ownership
Payments
129
Total payment records
General Amount
$3,671
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,675 |
| ABBVIE INC. | $603 |
| Collegium Pharmaceutical, Inc. | $173 |
| SCILEX PHARMACEUTICALS INC. | $108 |
| Forte Bio-Pharma LLC | $91 |
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: 2015-08-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150814013481 | I | Nurse Practitioner | NE | TBD |
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.
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 68124)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | NE | 85610 | Blood test, clotting time | 71 | 59 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NE | |
| Pain Management, Anesthesiology, Interventional Pain Management, Physical Medicine And Rehabilitation | MO | |
| Physician Assistant | NE | |
| Physician Assistant | NE | |
| Pain Management, Anesthesiology | NE |
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