MARYGRACE JOHNSON (NP) – Nurse Practitioner, NPI 1174066799
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for MARYGRACE JOHNSON (NP)
2412 50th St
Lubbock, TX 794122504
Phone: (806) 744-7223
Fax: (806) 740-3325
Type: Location
PO BOX 93128
LUBBOCK, TX 794933128
Phone: (880) 678-8438
Fax: (806) 788-4369
Type: Mailing
5115, 80th Street, Lubbock, Lubbock County, Texas, 79424, United States
LUBBOCK, TX 794243017
Phone: (806) 788-4368
Fax: (806) 788-4369
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 346 Open Payments records for all available years, with a total value of $6,664.
Total Amount is formed as General ($6,664) + Research ($0) + Ownership ($0) = $6,664.
Last reported payment date: 2024-12-29 • Largest payer in this snapshot: ABBVIE INC. ($1,953).
Total Amount
$6,664
General + Research + Ownership
Payments
346
Total payment records
General Amount
$6,664
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,953 |
| Janssen Biotech, Inc. | $776 |
| Takeda Pharmaceuticals U.S.A., Inc. | $716 |
| AIMMUNE THERAPEUTICS, INC. | $407 |
| NESTLE HEALTHCARE NUTRITION INC. | $299 |
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: 2017-01-28
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 |
|---|---|---|---|---|
| I20170128000384 | I | Nurse Practitioner | TX | 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 | 171 | 140 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 95 | 87 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 79412)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Nurse Practitioner | TX | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Gastroenterology, Internal Medicine | TX | |
| Gastroenterology, Internal Medicine | AL | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Certified Registered Nurse Anesthetist (Crna) | TX |
Reviews
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