JACQUELINE JOHNSON (AGNP) – Gerontology Nurse Practitioner, NPI 1003359951
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for JACQUELINE JOHNSON (AGNP)
1440 Carrollton Pkwy
8207
Carrollton, TX 750101399
Phone: (501) 416-8045
Type: Location
3525 W Holcombe Blvd
Houston, TX 770251313
Phone: (713) 814-2800
Fax: (713) 814-2805
Type: Location
822, Red Tip Drive, Allen, Collin County, Texas, 75002, United States
ALLEN, TX 750025023
Phone: (501) 416-8045
Type: Mailing
3525 W HOLCOMBE BLVD
HOUSTON, TX 770251313
Phone: (713) 814-2800
Type: Mailing
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: 2024-05-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20191107000966 | I | Nurse Practitioner | TX | TBD |
| I20230213000877 | I | Nurse Practitioner | CA | TBD |
| I20230420002172 | I | Nurse Practitioner | FL | TBD |
| I20240517002766 | I | Nurse Practitioner | OH | 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 |
|---|---|---|---|---|
| 69210 | Removal of impacted ear wax | 121 | 95 | $0 |
| 98967 | Telephone medical discussion provided by nonphysician professional, 11-20 minutes | 109 | 91 | $0 |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | 84 | 73 | $0 |
| 98968 | Telephone medical discussion provided by nonphysician professional, 21-30 minutes | 45 | 38 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 17 | 12 | $0 |
Insurance plans in this area (ZIP 75010)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | TX | |
| - | TX | |
| R H E U M A T O L O G Y | FL | |
| Cardiovascular Disease (Cardiology) | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| - | TX |
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