FERNANDA LEITE JOHNSTON – Psychiatric/Mental Health Nurse Practitioner, NPI 1104133065

FERNANDA LEITE JOHNSTON is a healthcare provider. based in Las vegas, Nevada. specializing in NURSE PRACTITIONER. They hold a License No. RN9552826 (FL). The NPI Number for FERNANDA LEITE JOHNSTON is 1104133065

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
FERNANDA LEITE JOHNSTON
NPI
1104133065
Phone
(615) 668-4665
Address
6497 VANHOVEN CREST ST
Enumeration Date
13 September 2010
Last Update Date
10 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8014066256
Graduation Year
2022 (4 years ago)
PAC ID
0941672612
Group Practice PAC ID
4082138904
Professional Enrollment ID
I20250422002689
Address ID
UT840436760LE2183XSTXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness75
Years active:15State licenses:4Digital endpointsOther names

2,655 NURSE PRACTITIONER in UT

Provider Addresses for FERNANDA LEITE JOHNSTON

  • 6497 VANHOVEN CREST ST

    LAS VEGAS, NV 891662016

    Phone: (615) 668-4665

    Type: Mailing

  • 2183 W MAIN ST # A209

    LEHI, UT 840436760

    Phone: (385) 469-2120

    Type: Location

  • 311 23rd Ave N

    Nashville, TN 372031503

    Phone: (615) 340-5607

    Type: Location

  • 311 23RD AVE N

    NASHVILLE, TN 372031503

    Phone: (615) 340-5607

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 132 Open Payments records for all available years, with a total value of $2,511.

Total Amount is formed as General ($2,511) + Research ($0) + Ownership ($0) = $2,511.

Last reported payment date: 2023-11-21 • Largest payer in this snapshot: ABBVIE INC. ($566).

Total Amount

$2,511

General + Research + Ownership

Payments

132

Total payment records

General Amount

$2,511

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-21

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: 2025-04-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20230206001365INurse PractitionerTNTBD
I20231201002287INurse PractitionerNVTBD
I20250422002689INurse PractitionerUTTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes8334$0
90833Psychotherapy with evaluation and management visit, 30 minutes6427$0
View full utilization report →

Insurance plans in this area (ZIP 89166)

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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: 4082138904View full group profile
NameSpecialtyState
Clinical PsychologistUT
Mental Health CounselorUT
Nurse PractitionerUT

Reviews

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Frequently asked questions

Is FERNANDA LEITE JOHNSTON listed with a National Provider Identifier?
Yes — FERNANDA LEITE JOHNSTON has NPI 1104133065 on file in the registry.
Is there an active status for FERNANDA LEITE JOHNSTON?
For scheduling context, FERNANDA LEITE JOHNSTON is shown as active in the registry.
What kind of doctor is FERNANDA LEITE JOHNSTON?
FERNANDA LEITE JOHNSTON is associated with Psychiatric/Mental Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with FERNANDA LEITE JOHNSTON?
Directory geography for FERNANDA LEITE JOHNSTON centers on Las Vegas, Nevada.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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