RAE-ANNA JOHNSON (FNP-C) – Family Nurse Practitioner, NPI 1366012064

RAE-ANNA JOHNSON (FNP-C) is a healthcare provider. based in Hilliard, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 485459 (OH). The NPI Number for RAE-ANNA JOHNSON (FNP-C) is 1366012064

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
RAE-ANNA JOHNSON (FNP-C)
NPI
1366012064
Phone
(614) 876-1618
Address
4523 Cemetery Rd
Enumeration Date
25 June 2021
Last Update Date
7 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2163679444
Graduation Year
2022 (4 years ago)
PAC ID
1658751300
Group Practice PAC ID
2668517061
Professional Enrollment ID
I20220712001286
Address ID
OH441153221CL2475XSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for RAE-ANNA JOHNSON (FNP-C)

  • 4523 Cemetery Rd

    Hilliard, OH 430261102

    Phone: (614) 876-1618

    Fax: (888) 990-1755

    Type: Location

  • 7127 STONE CT

    COLUMBUS, OH 432352866

    Phone: (440) 315-7079

    Type: Mailing

  • 4523 CEMETERY RD

    HILLIARD, OH 430261102

    Phone: (614) 876-1618

    Fax: (888) 990-1755

    Type: Mailing

  • 355 E CAMPUS VIEW BLVD STE 180

    COLUMBUS, OH 432355680

    Phone: (614) 840-1688

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-07-12

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
I20220712001286INurse PractitionerOHTBD

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
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes293148$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes10580$0
G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a9850$0
G0008Administration of influenza virus vaccine6666$0
90674Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free6565$0
View full utilization report →

Insurance plans in this area (ZIP 43026)

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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: 2668517061View full group profile
NameSpecialtyState
P O D I A T R YOH
Certified Clinical Nurse Specialist (Cns)OH

Reviews

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Frequently asked questions

What NPI should I save for RAE-ANNA JOHNSON (FNP-C)?
Save NPI 1366012064 if you need a stable reference for RAE-ANNA JOHNSON (FNP-C).
Is RAE-ANNA JOHNSON (FNP-C) active in the national directory?
RAE-ANNA JOHNSON (FNP-C)'s public NPI profile is in an active state.
What field does RAE-ANNA JOHNSON (FNP-C) work in?
You can think of RAE-ANNA JOHNSON (FNP-C) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for RAE-ANNA JOHNSON (FNP-C)?
We surface Hilliard, Ohio for RAE-ANNA JOHNSON (FNP-C) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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