AMANDA-GRACE JOHNSON (DNP) – Family Nurse Practitioner, NPI 1790385136
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,949 NURSE PRACTITIONER in NV
Provider Addresses for AMANDA-GRACE JOHNSON (DNP)
6355 S BUFFALO DR FL 3
LAS VEGAS, NV 891132133
Phone: (702) 216-3346
Fax: (702) 671-6883
Type: Mailing
1297 BOULDER CITY PKWY STE A
BOULDER CITY, NV 890051854
Phone: (702) 294-1919
Fax: (702) 294-0072
Type: Location
PO BOX 98978
LAS VEGAS, NV 891938978
Phone: (702) 216-3346
Fax: (702) 671-6883
Type: Mailing
8760 W PATRICK LN UNIT 2026
LAS VEGAS, NV 891485309
Phone: (626) 628-4060
Type: Mailing
620 SHADOW LN
LAS VEGAS, NV 891064194
Phone: (702) 388-4000
Type: Location
620 Shadow Ln
Las Vegas, NV 891064194
Phone: (702) 388-4000
Type: Location
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 $63.
Total Amount is formed as General ($63) + Research ($0) + Ownership ($0) = $63.
Last reported payment date: 2024-08-08 • Largest payer in this snapshot: Ferring Pharmaceuticals Inc. ($24).
Total Amount
$63
General + Research + Ownership
Payments
3
Total payment records
General Amount
$63
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ferring Pharmaceuticals Inc. | $24 |
| Fresenius Kabi USA, LLC | $22 |
| Exact Sciences Corporation | $17 |
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: 2021-08-05
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 |
|---|---|---|---|---|
| I20210805001705 | I | Nurse Practitioner | NV | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 91 | 48 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 50 | 50 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 16 | 15 | $0 |
| G0008 | Administration of influenza virus vaccine | 14 | 14 | $0 |
Insurance plans in this area (ZIP 89113)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiac Electrophysiology | NV | |
| Family Practice | NV | |
| Nurse Practitioner | NC | |
| E N D O C R I N O L O G Y | IA | |
| Family Practice | NV | |
| Cardiovascular Disease (Cardiology), Internal Medicine | NV | |
| Physician Assistant | NV | |
| Nurse Practitioner | NV | |
| Nurse Practitioner | UT | |
| General Practice | NV |
Reviews
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