AUDETTE HAGAN JOHNSON – Family Nurse Practitioner, NPI 1184872566
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for AUDETTE HAGAN JOHNSON
CVS Caremark Corporation, 1, CVS Drive, Woonsocket, Providence County, Rhode Island, 02895, United States
WOONSOCKET, RI 028956146
Phone: (866) 389-2727
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $75.
Total Amount is formed as General ($75) + Research ($0) + Ownership ($0) = $75.
Last reported payment date: 2024-01-29 • Largest payer in this snapshot: PFIZER INC. ($16).
Total Amount
$75
General + Research + Ownership
Payments
5
Total payment records
General Amount
$75
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $16 |
| Phadia US Inc. | $15 |
| Otsuka America Pharmaceutical, Inc. | $15 |
| ABBVIE INC. | $15 |
| Lilly USA, LLC | $14 |
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: 2011-11-15
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 |
|---|---|---|---|---|
| I20111115000262 | I | Nurse Practitioner | IN | 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 |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 388 | 102 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 121 | 67 | $0 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 50 | 50 | $0 |
| 90480 | Admn sarscov2 vacc 1 dose | 50 | 50 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 37 | 37 | $0 |
Insurance plans in this area (ZIP 02895)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Sports Medicine | IN | |
| Internal Medicine | WI | |
| Physician Assistant | IL | |
| Nurse Practitioner | GA | |
| Internal Medicine | IN | |
| Nurse Practitioner | NC | |
| Internal Medicine | WI | |
| Family Practice, Hospitalist, Family Practice | WI | |
| Critical Care (Intensivists), Geriatric Medicine, Pulmonary Disease, Internal Medicine | KY | |
| - | IN |
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