NICOLE MARIE JOHNSON (PA-C) – Physician Assistant, NPI 1053952499
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,497 PHYSICIAN ASSISTANT in TX
Provider Addresses for NICOLE MARIE JOHNSON (PA-C)
7630 N Beach St Ste 140
Fort Worth, TX 761373016
Phone: (817) 281-2977
Type: Location
140, North Beach Street, Fort Worth, Tarrant County, Texas, 76111, United States
FORT WORTH, TX 761373016
Phone: (817) 281-2977
Type: Location
2200 FOWLER GROVE BLVD STE 140
WINTER GARDEN, FL 347875597
Phone: (407) 614-0528
Fax: (407) 614-0529
Type: Location
603, Broad Leaf Lane, McKinney, Collin County, Texas, 75072, United States
MCKINNEY, TX 750725153
Phone: (954) 673-9812
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $235.
Total Amount is formed as General ($235) + Research ($0) + Ownership ($0) = $235.
Last reported payment date: 2023-10-05 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($123).
Total Amount
$235
General + Research + Ownership
Payments
3
Total payment records
General Amount
$235
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $123 |
| Lilly USA, LLC | $98 |
| Novo Nordisk Inc | $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: 2023-02-27
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 |
|---|---|---|---|---|
| I20230227001517 | I | Physician Assistant | FL | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 56 | 43 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 27 | 25 | $0 |
Insurance plans in this area (ZIP 76137)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Family Practice | FL | |
| Family Practice, Emergency Medicine | FL | |
| Family Practice | FL | |
| Family Practice | LA | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Internal Medicine | FL | |
| Physician Assistant | FL |
Reviews
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