CAROLYN JOHNSON (MSN, APRN, FNP-C) – Family Nurse Practitioner, NPI 1114482569

CAROLYN JOHNSON (MSN, APRN, FNP-C) is a healthcare provider. based in Lindale, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, APRN, FNP-C. They hold a License No. AP140535 (TX). The NPI Number for CAROLYN JOHNSON (MSN, APRN, FNP-C) is 1114482569

Main info

Female
8 Years Of Experience
Name
CAROLYN JOHNSON (MSN, APRN, FNP-C)
NPI
1114482569
Phone
(903) 881-3175
Address
3405 S Main St
Enumeration Date
8 February 2019
Last Update Date
8 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9036065560
Graduation Year
2018 (8 years ago)
PAC ID
6507299179
Group Practice PAC ID
3072426741
Professional Enrollment ID
I20191212001634
Address ID
TX757012041TY630XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

22,209 NURSE PRACTITIONER in TX

Provider Addresses for CAROLYN JOHNSON (MSN, APRN, FNP-C)

  • 3405 S Main St

    Lindale, TX 757717749

    Phone: (903) 881-3175

    Fax: (903) 881-3176

    Type: Location

  • 13462 HWY 110 N

    TYLER, TX 757042444

    Phone: (903) 283-0106

    Type: Mailing

  • 3187 PALUXY DR

    TYLER, TX 757018303

    Phone: (903) 787-7533

    Type: Mailing

  • 3201 S Loop 256 Ste 200

    Palestine, TX 758016913

    Phone: (903) 723-0330

    Type: Location

  • 1910 ROSELAND BLVD

    TYLER, TX 757014246

    Phone: (903) 533-0644

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $534.

Total Amount is formed as General ($534) + Research ($0) + Ownership ($0) = $534.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($116).

Total Amount

$534

General + Research + Ownership

Payments

19

Total payment records

General Amount

$534

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2019-12-12

PECOS data refreshed: 2026-06-15

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
I20191212001634INurse PractitionerTXTBD

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 minutes5450$0
99203New patient office or other outpatient visit, 30-44 minutes4646$0
99213Established patient office or other outpatient visit, 20-29 minutes4441$0
View full utilization report →

Insurance plans in this area (ZIP 75771)

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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: 3072426741View full group profile
NameSpecialtyState
General SurgeryAZ
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
E N D O C R I N O L O G YTX
-NC
Physician AssistantLA
Hospitalist, GastroenterologyTX
Internal MedicineTX

Reviews

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Frequently asked questions

How do I look up CAROLYN JOHNSON (MSN, APRN, FNP-C) by NPI?
Use NPI 1114482569 when you need to reference CAROLYN JOHNSON (MSN, APRN, FNP-C) in forms, claims, or directories.
Is CAROLYN JOHNSON (MSN, APRN, FNP-C) active in the national directory?
CAROLYN JOHNSON (MSN, APRN, FNP-C)'s public NPI profile is in an active state.
Can you summarize CAROLYN JOHNSON (MSN, APRN, FNP-C)'s specialty in plain language?
Clinically, the directory lists CAROLYN JOHNSON (MSN, APRN, FNP-C) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place CAROLYN JOHNSON (MSN, APRN, FNP-C)?
The snapshot lists Lindale, Texas for CAROLYN JOHNSON (MSN, APRN, FNP-C); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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