TIFFANY L. JOHNSON (ACNP-BC) – Acute Care Nurse Practitioner, NPI 1235389107

TIFFANY L. JOHNSON (ACNP-BC) is a healthcare provider. based in Pasadena, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials ACNP-BC. They hold a License No. 676193 (TX). The NPI Number for TIFFANY L. JOHNSON (ACNP-BC) is 1235389107

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
TIFFANY L. JOHNSON (ACNP-BC)
NPI
1235389107
Phone
(713) 946-6081
Address
4102 WOODLAWN AVE
Enumeration Date
26 September 2008
Last Update Date
26 September 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2007 (19 years ago)
PAC ID
3870802341
Group Practice PAC ID
8426960360
Professional Enrollment ID
I20151023000472
Address ID
TX770303005HO6410XSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

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Provider Addresses for TIFFANY L. JOHNSON (ACNP-BC)

  • 4102, Woodlawn Avenue, Pasadena, Harris County, Texas, 77504, United States

    SUITE 110

    PASADENA, TX 77504

    Phone: (713) 946-6081

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 68 Open Payments records for all available years, with a total value of $1,765.

Total Amount is formed as General ($1,765) + Research ($0) + Ownership ($0) = $1,765.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: ABBVIE INC. ($332).

Total Amount

$1,765

General + Research + Ownership

Payments

68

Total payment records

General Amount

$1,765

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

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: 2015-10-23

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
I20151023000472INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77504)

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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: 8426960360View full group profile
NameSpecialtyState
Emergency MedicineIL
Anesthesiology, Critical Care (Intensivists)TX
A N E S T H E S I O L O G YTX
-TX
Diagnostic RadiologyTX
Physician AssistantTX
Certified Nurse Midwife (Cnm)TX
O T O L A R Y N G O L O G YTX
Physician AssistantTX
Physician AssistantTX

Reviews

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Frequently asked questions

Does TIFFANY L. JOHNSON (ACNP-BC) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — TIFFANY L. JOHNSON (ACNP-BC) uses 1235389107.
Does CMS list TIFFANY L. JOHNSON (ACNP-BC) as active?
Yes — TIFFANY L. JOHNSON (ACNP-BC) is active in the NPI listing used on this page.
What is TIFFANY L. JOHNSON (ACNP-BC)'s primary classification?
Acute Care Nurse Practitioner is the headline specialty for TIFFANY L. JOHNSON (ACNP-BC) here. Clinical services aligned with this taxonomy classification.
Where should I expect TIFFANY L. JOHNSON (ACNP-BC) on a map?
Expect Pasadena, Texas as a primary anchor for TIFFANY L. JOHNSON (ACNP-BC) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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