KRISTINA JOHNSON (PA-C) – Physician Assistant, NPI 1093210635
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
Provider Addresses for KRISTINA JOHNSON (PA-C)
901 W 15th St
Plano, TX 750755134
Phone: (469) 443-0275
Type: Location
221 E 29th St Ste 102
Loveland, CO 805382746
Phone: (970) 624-5150
Fax: (970) 669-7521
Type: Location
810 E Ralph Hall Pkwy
Rockwall, TX 750326878
Phone: (469) 402-3400
Type: Location
2801 PURCELL ST
BRIGHTON, CO 806013551
Phone: (303) 659-9700
Fax: (303) 558-8222
Type: Location
901, West 15th Street, Plano, Collin County, Texas, 75075, United States
PLANO, TX 750755134
Phone: (469) 443-0275
Type: Location
1901, Duke Drive, Richardson, Dallas County, Texas, 75081, United States
RICHARDSON, TX 750813133
Phone: (720) 999-1089
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: 2020-07-02
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 |
|---|---|---|---|---|
| I20200702001171 | I | Physician Assistant | CO | 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 | 11 | 11 | $0 |
Insurance plans in this area (ZIP 75075)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CO | |
| Physician Assistant | CO | |
| Physician Assistant | CO | |
| Physician Assistant | NC | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | CO | |
| Physician Assistant | CO | |
| Nurse Practitioner | WY | |
| - | CO | |
| Physician Assistant | CO |
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