KATIE ALYSE JOHNSON (FNP) – Family Nurse Practitioner, NPI 1194285189
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,728 NURSE PRACTITIONER in TN
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Provider Addresses for KATIE ALYSE JOHNSON (FNP)
587, Skyline Drive, Hicksville, Jackson, Madison County, Tennessee, 38301, United States
JACKSON, TN 383013938
Phone: (731) 424-8922
Fax: (731) 423-2922
Type: Location
1804 HIGHWAY 45 BYP STE 604
JACKSON, TN 383054403
Phone: (731) 660-7971
Fax: (731) 660-8739
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $360.
Total Amount is formed as General ($360) + Research ($0) + Ownership ($0) = $360.
Last reported payment date: 2024-10-17 • Largest payer in this snapshot: ABBVIE INC. ($118).
Total Amount
$360
General + Research + Ownership
Payments
17
Total payment records
General Amount
$360
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $118 |
| Actelion Pharmaceuticals US, Inc. | $59 |
| Takeda Pharmaceuticals U.S.A., Inc. | $48 |
| Astellas Pharma US Inc | $34 |
| PFIZER INC. | $27 |
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: 2019-05-30
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20190530002669 | I | Nurse Practitioner | TN | 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 |
|---|---|---|---|---|
| 81003 | Automated urinalysis test | 15 | 12 | $0 |
Insurance plans in this area (ZIP 38301)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | TN | |
| - | TN | |
| - | TN | |
| Physician Assistant | MO | |
| Nurse Practitioner | LA | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Physician Assistant | TN |
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