LISA M JOHNSON (PA-C) – Physician Assistant, NPI 1619963709

LISA M JOHNSON (PA-C) is a healthcare provider. based in Oneill, Nebraska. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 1216 (NE). The NPI Number for LISA M JOHNSON (PA-C) is 1619963709

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
LISA M JOHNSON (PA-C)
NPI
1619963709
Phone
(402) 336-4222
Address
304 E DOUGLAS ST
Enumeration Date
23 September 2005
Last Update Date
1 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4025208955
Graduation Year
2003 (23 years ago)
PAC ID
4385679893
Group Practice PAC ID
0345696589
Professional Enrollment ID
I20051004000556
Address ID
NE685163868LI7120XSTXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,396 PHYSICIAN ASSISTANT in NE

Provider Addresses for LISA M JOHNSON (PA-C)

  • 304 E DOUGLAS ST

    ONEILL, NE 687631830

    Phone: (402) 336-4222

    Fax: (402) 336-4228

    Type: Mailing

  • 7120 S 69TH ST STE 101A

    LINCOLN, NE 685163868

    Phone: (402) 499-2883

    Fax: (833) 471-5257

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $61.

Total Amount is formed as General ($61) + Research ($0) + Ownership ($0) = $61.

Last reported payment date: 2024-08-19 • Largest payer in this snapshot: Philips North America LLC ($25).

Total Amount

$61

General + Research + Ownership

Payments

3

Total payment records

General Amount

$61

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-19

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: 2005-10-04

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
I20051004000556IPhysician AssistantNETBD

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
99285Emergency department visit with high level of medical decision making5251$0
99284Emergency department visit with moderate level of medical decision making4947$0
99203New patient office or other outpatient visit, 30-44 minutes1717$0
93042Electrocardiogram (ecg) 1 to 3 leads with review by physician only1313$0
99283Emergency department visit with low level of medical decision making1313$0
View full utilization report →

Insurance plans in this area (ZIP 68763)

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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: 0345696589View full group profile
NameSpecialtyState
Internal MedicineNE
Nurse PractitionerNE
Physician AssistantNE
Family PracticeNE
Physician AssistantNE
Physician AssistantNE

Reviews

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Frequently asked questions

What is LISA M JOHNSON (PA-C)'s NPI number?
LISA M JOHNSON (PA-C)'s NPI is 1619963709 — the number used across U.S. healthcare to identify this provider.
Is there an active status for LISA M JOHNSON (PA-C)?
For scheduling context, LISA M JOHNSON (PA-C) is shown as active in the registry.
How would a patient describe LISA M JOHNSON (PA-C)'s focus?
For LISA M JOHNSON (PA-C), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
Is LISA M JOHNSON (PA-C) located near Oneill?
LISA M JOHNSON (PA-C) currently maps to Oneill, Nebraska in this extract.
Can I trust this NPI listing for LISA M JOHNSON (PA-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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