STACY JOHNSON (APRN-CNP) – Family Nurse Practitioner, NPI 1215452578
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
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Provider Addresses for STACY JOHNSON (APRN-CNP)
540 CHAPEL DR
MEXIA, TX 766673490
Phone: (254) 562-2821
Fax: (254) 562-1183
Type: Mailing
Lake Whitney Medical Clinic, 202, East Jefferson Avenue, Whitney, Hill County, Texas, 76692, United States
WHITNEY, TX 766922398
Phone: (254) 694-2221
Fax: (254) 694-9978
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: 2017-11-06
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 |
|---|---|---|---|---|
| I20171106000804 | 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 |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 123 | 30 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 106 | 26 | $0 |
| G0008 | Administration of influenza virus vaccine | 29 | 28 | $0 |
| 90686 | Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage | 28 | 28 | $0 |
Insurance plans in this area (ZIP 76667)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| - | TX | |
| Family Practice | TX | |
| - | TX | |
| - | TX | |
| P O D I A T R Y | TX | |
| Nurse Practitioner | TX | |
| Internal Medicine | CT | |
| P S Y C H I A T R Y | LA | |
| - | TX |
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