LISA M JOHNSON – Nurse Practitioner, NPI 1336772771

LISA M JOHNSON is a healthcare provider. based in Bartlesville, Oklahoma. specializing in NURSE PRACTITIONER. They hold a License No. 116093 (OK). The NPI Number for LISA M JOHNSON is 1336772771

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
LISA M JOHNSON
NPI
1336772771
Phone
(918) 331-2665
Address
3500 E FRANK PHILLIPS BLVD STE 501
Enumeration Date
13 February 2020
Last Update Date
17 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9189408900
Graduation Year
2019 (7 years ago)
PAC ID
5496184137
Group Practice PAC ID
0446251664
Professional Enrollment ID
I20200401002084
Address ID
OK741335834TU10210STXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for LISA M JOHNSON

  • 3500 E FRANK PHILLIPS BLVD STE 501

    BARTLESVILLE, OK 740062411

    Phone: (918) 331-2665

    Type: Location

  • 11838 E 166TH ST N

    COLLINSVILLE, OK 740214537

    Phone: (918) 808-1096

    Type: Mailing

  • 3400 E FRANK PHILLIPS BLVD STE 703

    BARTLESVILLE, OK 740062443

    Phone: (918) 940-8500

    Fax: (918) 940-8399

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $382.

Total Amount is formed as General ($382) + Research ($0) + Ownership ($0) = $382.

Last reported payment date: 2024-09-06 • Largest payer in this snapshot: iRhythm Technologies, Inc. ($194).

Total Amount

$382

General + Research + Ownership

Payments

15

Total payment records

General Amount

$382

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-06

Latest reported date

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: 2020-04-01

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
I20200401002084INurse PractitionerOKTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes319222$0
99213Established patient office or other outpatient visit, 20-29 minutes7469$0
83036Hemoglobin a1c level7058$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3232$0
81003Automated urinalysis test2824$0
View full utilization report →

Insurance plans in this area (ZIP 74006)

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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: 0446251664View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineOK
Gastroenterology, Internal MedicineOK
G A S T R O E N T E R O L O G YOK
Gastroenterology, Internal MedicineOK
Gastroenterology, Internal MedicineOK
-OK
Certified Registered Nurse Anesthetist (Crna)OK
Certified Registered Nurse Anesthetist (Crna)OK
Gastroenterology, Internal MedicineOK
Gastroenterology, Internal MedicineOK

Reviews

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Frequently asked questions

What is LISA M JOHNSON's NPI number?
LISA M JOHNSON's NPI is 1336772771 — the number used across U.S. healthcare to identify this provider.
Is there an active status for LISA M JOHNSON?
For scheduling context, LISA M JOHNSON is shown as active in the registry.
What kind of doctor is LISA M JOHNSON?
LISA M JOHNSON is associated with Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for LISA M JOHNSON?
Travel planning: use Bartlesville, Oklahoma as the reference point for LISA M JOHNSON, then confirm.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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