KRISTINA JOHNSON (PA-C) – Physician Assistant, NPI 1093210635

KRISTINA JOHNSON (PA-C) is a healthcare provider. based in Plano, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA.0005777 (CO). The NPI Number for KRISTINA JOHNSON (PA-C) is 1093210635

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KRISTINA JOHNSON (PA-C)
NPI
1093210635
Phone
(469) 443-0275
Address
901 W 15th St
Enumeration Date
27 March 2018
Last Update Date
27 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3034394544
Graduation Year
2017 (9 years ago)
PAC ID
2668735234
Group Practice PAC ID
6002834645
Professional Enrollment ID
I20200702001171
Address ID
CO800205666BR4590XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Digital endpointsOther names

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200702001171IPhysician AssistantCOTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 75075)

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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: 6002834645View full group profile
NameSpecialtyState
Nurse PractitionerCO
Physician AssistantCO
Physician AssistantCO
Physician AssistantNC
Nurse PractitionerCO
Nurse PractitionerCO
Physician AssistantCO
Nurse PractitionerWY
-CO
Physician AssistantCO

Reviews

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Frequently asked questions

What federal number belongs to KRISTINA JOHNSON (PA-C)?
The federal identifier for KRISTINA JOHNSON (PA-C) is NPI 1093210635.
Is KRISTINA JOHNSON (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does KRISTINA JOHNSON (PA-C) treat or focus on?
Patients typically see KRISTINA JOHNSON (PA-C) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is KRISTINA JOHNSON (PA-C)'s primary listing?
We display Plano, Texas because that is what the record indicates for KRISTINA JOHNSON (PA-C).
How can I contact KRISTINA JOHNSON (PA-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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