MRS. KELLY MARLENE JOHNSON (APRN NP-C) – Nurse Practitioner, NPI 1700345345
Nurse Practitioner
Main info
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Profile Insights
NPPES metrics only — not quality of care.
3,299 NURSE PRACTITIONER in OK
Provider Addresses for MRS. KELLY MARLENE JOHNSON (APRN NP-C)
101 W Hefner Rd Ste 204
Oklahoma City, OK 731146631
Phone: (551) 295-8223
Type: Location
PO BOX 1095
GUTHRIE, OK 730441095
Phone: (405) 282-6285
Fax: (405) 282-5731
Type: Mailing
2 UNIVERSITY PLZ STE 204
HACKENSACK, NJ 076016211
Phone: (551) 295-8223
Fax: (405) 282-5731
Type: Mailing
3209 S Broadway Ste 229
Edmond, OK 730134064
Phone: (551) 295-8223
Type: Location
1320, East Oklahoma Avenue, Guthrie, Logan County, Oklahoma, 73044, United States
GUTHRIE, OK 730443757
Phone: (405) 282-6285
Fax: (405) 282-5731
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: 2019-06-17
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 |
|---|---|---|---|---|
| I20190617002719 | I | Nurse Practitioner | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 109 | 77 | $0 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 27 | 14 | $0 |
| 99497 | Advance care planning, first 30 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 73114)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NJ | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | OK | |
| Physician Assistant | NY | |
| Nurse Practitioner | PA | |
| Hospitalist, Internal Medicine, Internal Medicine | NJ | |
| Nurse Practitioner | OK | |
| Physician Assistant | OK | |
| Nurse Practitioner | OK |
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