MS. JESSICA LYNNE JOHNSON (CNP) – Gerontology Nurse Practitioner, NPI 1093286114
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,989 NURSE PRACTITIONER in OH
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Provider Addresses for MS. JESSICA LYNNE JOHNSON (CNP)
903, Wimbleton Drive, Medina, Medina County, Ohio, 44256, United States
MEDINA, OH 442562935
Phone: (330) 591-8536
Type: Mailing
970 E WASHINGTON ST STE 4B
MEDINA, OH 442562181
Phone: (330) 721-5700
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $720.
Total Amount is formed as General ($720) + Research ($0) + Ownership ($0) = $720.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($262).
Total Amount
$720
General + Research + Ownership
Payments
9
Total payment records
General Amount
$720
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2020-03-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200304002753 | I | Nurse Practitioner | OH | 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 | 184 | 169 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 152 | 90 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 46 | 44 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 29 | 28 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 28 | 21 | $0 |
Insurance plans in this area (ZIP 44256)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NV | |
| Nephrology, Internal Medicine | OH | |
| - | OH | |
| - | MI | |
| Nurse Practitioner | OH | |
| General Surgery, Anesthesiology, Critical Care (Intensivists) | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| - | OH | |
| - | MN | |
| Nurse Practitioner | OH |
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