MS. CHRISTINE ANNMARIE JOHNSON (AGNP, APRN-CP) – Adult Health Nurse Practitioner, NPI 1619684719

MS. CHRISTINE ANNMARIE JOHNSON (AGNP, APRN-CP) is a healthcare provider. based in Mcalester, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials AGNP, APRN-CP. They hold a License No. R0136354 (OK). The NPI Number for MS. CHRISTINE ANNMARIE JOHNSON (AGNP, APRN-CP) is 1619684719

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
MS. CHRISTINE ANNMARIE JOHNSON (AGNP, APRN-CP)
NPI
1619684719
Phone
(580) 236-9947
Address
1 E Clark Bass Blvd
Enumeration Date
31 October 2022
Last Update Date
9 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9184216795
Graduation Year
2021 (5 years ago)
PAC ID
3971038555
Group Practice PAC ID
9931139029
Professional Enrollment ID
I20241119002752
Address ID
OK745015346MC10XXXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:3State licenses:2Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for MS. CHRISTINE ANNMARIE JOHNSON (AGNP, APRN-CP)

  • 1 E Clark Bass Blvd

    McAlester, OK 745014209

    Phone: (580) 236-9947

    Type: Location

  • 10 S 3RD ST

    MCALESTER, OK 745015346

    Phone: (918) 421-6795

    Type: Mailing

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: 2024-11-19

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
I20241119002752INurse 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.

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

Insurance plans in this area (ZIP 74501)

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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: 9931139029View full group profile

Reviews

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Frequently asked questions

Can I cross-check MS. CHRISTINE ANNMARIE JOHNSON (AGNP, APRN-CP) using NPI 1619684719?
NPI 1619684719 belongs to MS. CHRISTINE ANNMARIE JOHNSON (AGNP, APRN-CP); compare other details if you need extra assurance.
Active or inactive — what applies to MS. CHRISTINE ANNMARIE JOHNSON (AGNP, APRN-CP)?
You should see MS. CHRISTINE ANNMARIE JOHNSON (AGNP, APRN-CP) as active in CMS-hosted NPPES data.
What kind of doctor is MS. CHRISTINE ANNMARIE JOHNSON (AGNP, APRN-CP)?
MS. CHRISTINE ANNMARIE JOHNSON (AGNP, APRN-CP) is associated with Adult Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is MS. CHRISTINE ANNMARIE JOHNSON (AGNP, APRN-CP) located near Mcalester?
MS. CHRISTINE ANNMARIE JOHNSON (AGNP, APRN-CP) currently maps to Mcalester, Oklahoma in this extract.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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