CAROL COLENE JOHNSON (FNP-BC) – Family Nurse Practitioner, NPI 1093423030
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,299 NURSE PRACTITIONER in OK
Provider Addresses for CAROL COLENE JOHNSON (FNP-BC)
7780 NS 3570 RD
PRAGUE, OK 748649238
Phone: (203) 561-7122
Type: Mailing
701 CEDAR LAKE BLVD STE 120
OKLAHOMA CITY, OK 731147815
Phone: (405) 445-1210
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: 2023-05-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20221128001570 | I | Nurse Practitioner | OK | TBD |
| I20230517000481 | I | Nurse Practitioner | TX | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 60 | 43 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 48 | 46 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 40 | 40 | $0 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 13 | 13 | $0 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 13 | 13 | $0 |
Insurance plans in this area (ZIP 74864)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OK | |
| Nurse Practitioner | OK | |
| - | OK | |
| Hospitalist, Neurology | OK | |
| - | OK | |
| Emergency Medicine | SC | |
| - | OK | |
| Family Practice | OK | |
| - | OK | |
| - | OK |
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