JENNIFER R JOHNSON (FNP) – Nurse Practitioner, NPI 1821646423

JENNIFER R JOHNSON (FNP) is a healthcare provider. based in Willoughby hills, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 024582 (OH). The NPI Number for JENNIFER R JOHNSON (FNP) is 1821646423

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER R JOHNSON (FNP)
NPI
1821646423
Phone
(440) 944-3250
Address
2570 SOM CENTER RD
Enumeration Date
28 August 2019
Last Update Date
28 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2164442200
Graduation Year
2019 (7 years ago)
PAC ID
0547697427
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20200305002915
Address ID
OH441950001CL9500XAVEX300

Contacts

Main Contact
https://npiregistry.cms.hhs.gov/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

14,984 NURSE PRACTITIONER in OH

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Provider Addresses for JENNIFER R JOHNSON (FNP)

  • 2570, Som Center Road, Willoughby Hills, Lake County, Ohio, 44094, United States

    WILLOUGHBY HILLS, OH 440949607

    Phone: (440) 944-3250

    Type: Location

  • 20050 HAVARD AVE

    WARRENVILLE HEIGHTS, OH 441226805

    Phone: (216) 491-6438

    Fax: (216) 491-7088

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $397.

Total Amount is formed as General ($397) + Research ($0) + Ownership ($0) = $397.

Last reported payment date: 2024-11-01 • Largest payer in this snapshot: Janssen Biotech, Inc. ($298).

Total Amount

$397

General + Research + Ownership

Payments

4

Total payment records

General Amount

$397

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-01

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: 2020-03-05

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200305002915INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44094)

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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: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
Nurse PractitionerOH

Reviews

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Frequently asked questions

Can I verify JENNIFER R JOHNSON (FNP) with an NPI only?
You can start verification with NPI 1821646423 for JENNIFER R JOHNSON (FNP), then check state licensing separately.
Does the file indicate JENNIFER R JOHNSON (FNP) is practicing under active NPI?
Directory data currently reports JENNIFER R JOHNSON (FNP) as active.
What is JENNIFER R JOHNSON (FNP)'s primary classification?
Nurse Practitioner is the headline specialty for JENNIFER R JOHNSON (FNP) here. Clinical services aligned with this taxonomy classification.
Where should I expect JENNIFER R JOHNSON (FNP) on a map?
Expect Willoughby Hills, Ohio as a primary anchor for JENNIFER R JOHNSON (FNP) unless the record lists multiple sites.
Why does JENNIFER R JOHNSON (FNP) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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