JAIME A JOHNSON (PA-C) – Medical Physician Assistant, NPI 1639192446
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,797 PHYSICIAN ASSISTANT in OK
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Provider Addresses for JAIME A JOHNSON (PA-C)
8100 S WALKER AVE BLDG A
OKLAHOMA CITY, OK 731399475
Phone: (405) 632-4468
Fax: (405) 632-0436
Type: Mailing
2506, North Harrison Street, Shawnee, Pottawatomie County, Oklahoma, 74804, United States
SHAWNEE, OK 74804
Phone: (405) 395-9050
Fax: (405) 395-9630
Type: Location
3400 W TECUMSEH RD STE 101
NORMAN, OK 730721810
Phone: (405) 360-6764
Fax: (405) 360-6769
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: 2004-06-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040621001474 | I | Physician Assistant | OK | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 73139)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | OK | |
| Sports Medicine | OK | |
| Physician Assistant | OK | |
| Orthopedic Surgery | OK | |
| Physical Therapist In Private Practice | OK | |
| Orthopedic Surgery | OK | |
| Physical Therapist In Private Practice | OK | |
| Physical Therapist In Private Practice | OK | |
| Physician Assistant | OK | |
| Physical Therapist In Private Practice | OK |
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