KRISTEN JOLLEY JOHNSON – Optometrist, NPI 1376287193

KRISTEN JOLLEY JOHNSON is a healthcare provider. based in Johnson city, Tennessee. specializing in OPTOMETRY. They hold a License No. 3789 (TN). The NPI Number for KRISTEN JOLLEY JOHNSON is 1376287193

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
KRISTEN JOLLEY JOHNSON
NPI
1376287193
Phone
(865) 712-7158
Address
175 BOB FITZ RD
Enumeration Date
27 April 2022
Last Update Date
1 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4235437376
Graduation Year
2022 (4 years ago)
PAC ID
1658742267
Group Practice PAC ID
5890878557
Professional Enrollment ID
I20230118002009
Address ID
TN376432221EL629XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

957 OPTOMETRY in TN

Provider Addresses for KRISTEN JOLLEY JOHNSON

  • 175 BOB FITZ RD

    JOHNSON CITY, TN 376153442

    Phone: (865) 712-7158

    Type: Mailing

  • 629 BROAD ST

    ELIZABETHTON, TN 376432221

    Phone: (423) 543-7376

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $59.

Total Amount is formed as General ($59) + Research ($0) + Ownership ($0) = $59.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Oyster Point Pharma, Inc. ($59).

Total Amount

$59

General + Research + Ownership

Payments

2

Total payment records

General Amount

$59

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-01-18

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
I20230118002009IOptometryTNTBD

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
66984Removal of cataract with insertion of prosthetic lens1,35011$0
92014Established patient complete exam of visual system3028$0
92250Photography of the retina2322$0
92012Established patient problem focused exam of visual system1912$0
99204New patient office or other outpatient visit, 45-59 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 37615)

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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: 5890878557View full group profile
NameSpecialtyState
O P T O M E T R YTN
O P T O M E T R YVA
-TN

Reviews

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Frequently asked questions

How do I look up KRISTEN JOLLEY JOHNSON by NPI?
Use NPI 1376287193 when you need to reference KRISTEN JOLLEY JOHNSON in forms, claims, or directories.
Is KRISTEN JOLLEY JOHNSON's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is KRISTEN JOLLEY JOHNSON?
The page reflects Optometrist for KRISTEN JOLLEY JOHNSON. Clinical services aligned with this taxonomy classification.
Where does public data place KRISTEN JOLLEY JOHNSON?
The snapshot lists Johnson City, Tennessee for KRISTEN JOLLEY JOHNSON; download NPPES for the complete set.
Is KRISTEN JOLLEY JOHNSON a real provider?
This page reflects official NPPES data for NPI 1376287193. Always confirm identity and privileges with the practice and licensing boards.

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