MRS. JESSICA MARIE JOHNSON (CRNP) – Family Nurse Practitioner, NPI 1407197734

MRS. JESSICA MARIE JOHNSON (CRNP) is a healthcare provider. based in Allison park, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. SP012520 (PA). The NPI Number for MRS. JESSICA MARIE JOHNSON (CRNP) is 1407197734

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JESSICA MARIE JOHNSON (CRNP)
NPI
1407197734
Phone
(412) 219-1160
Address
4284 William Flynn Hwy
Enumeration Date
12 March 2013
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4122191180
Graduation Year
2012 (14 years ago)
PAC ID
4789902800
Group Practice PAC ID
2062318975
Professional Enrollment ID
I20150421000807
Address ID
PA152291771WE1024XDRXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for MRS. JESSICA MARIE JOHNSON (CRNP)

  • 4284 William Flynn Hwy

    Suite 102

    Allison Park, PA 15101

    Phone: (412) 219-1160

    Type: Location

  • 8796 ROUTE 219

    BROCKWAY, PA 158246010

    Phone: (814) 265-1164

    Type: Mailing

  • 448 OLD CLAIRTON RD

    JEFFERSON HILLS, PA 150253034

    Phone: (814) 265-1164

    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: 2015-04-21

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150421000807INurse PractitionerPATBD

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 minutes3925$0
36415Insertion of needle into vein for collection of blood sample1511$0
View full utilization report →

Insurance plans in this area (ZIP 15101)

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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: 2062318975View full group profile
NameSpecialtyState
Family PracticePA
-PA
P S Y C H I A T R YPA
-PA
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseasePA
Internal MedicinePA
-PA
-PA
Internal MedicinePA
Internal MedicinePA

Reviews

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Frequently asked questions

How is MRS. JESSICA MARIE JOHNSON (CRNP) identified in CMS data?
CMS-hosted NPPES data lists MRS. JESSICA MARIE JOHNSON (CRNP) with NPI 1407197734.
Does the file indicate MRS. JESSICA MARIE JOHNSON (CRNP) is practicing under active NPI?
Directory data currently reports MRS. JESSICA MARIE JOHNSON (CRNP) as active.
What taxonomy line describes MRS. JESSICA MARIE JOHNSON (CRNP)?
For research purposes, treat MRS. JESSICA MARIE JOHNSON (CRNP) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MRS. JESSICA MARIE JOHNSON (CRNP) on a map?
Expect Allison Park, Pennsylvania as a primary anchor for MRS. JESSICA MARIE JOHNSON (CRNP) unless the record lists multiple sites.
Why does MRS. JESSICA MARIE JOHNSON (CRNP) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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