OLUMIDE T REMI-JOHNSON (NURSE PRACTITIONER) – Psychiatric/Mental Health Nurse Practitioner, NPI 1346920477

OLUMIDE T REMI-JOHNSON (NURSE PRACTITIONER) is a healthcare provider. based in Dallas, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. 1151066 (TX). The NPI Number for OLUMIDE T REMI-JOHNSON (NURSE PRACTITIONER) is 1346920477

Main info

Male
2 Years Of Experience
Name
OLUMIDE T REMI-JOHNSON (NURSE PRACTITIONER)
NPI
1346920477
Phone
(973) 462-1868
Address
11615 FOREST CENTRAL DR
Enumeration Date
24 July 2023
Last Update Date
7 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8552042502
Graduation Year
2024 (2 years ago)
PAC ID
3173987310
Group Practice PAC ID
9537578810
Professional Enrollment ID
I20250211001744
Address ID
TX752461778DA411XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:2State licenses:2Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for OLUMIDE T REMI-JOHNSON (NURSE PRACTITIONER)

  • 11615 FOREST CENTRAL DR

    DALLAS, TX 752433921

    Phone: (973) 462-1868

    Fax: (775) 402-4133

    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 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-01-05 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-05

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: 2025-02-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20240223004184INurse PractitionerNJTBD
I20250211001744INurse 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 75243)

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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: 9537578810View full group profile
NameSpecialtyState
P S Y C H I A T R YTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
P S Y C H I A T R YTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What NPI should I save for OLUMIDE T REMI-JOHNSON (NURSE PRACTITIONER)?
Save NPI 1346920477 if you need a stable reference for OLUMIDE T REMI-JOHNSON (NURSE PRACTITIONER).
Does this profile mean OLUMIDE T REMI-JOHNSON (NURSE PRACTITIONER) is currently active?
Yes — OLUMIDE T REMI-JOHNSON (NURSE PRACTITIONER) appears active in the national provider directory.
Can you summarize OLUMIDE T REMI-JOHNSON (NURSE PRACTITIONER)'s specialty in plain language?
Clinically, the directory lists OLUMIDE T REMI-JOHNSON (NURSE PRACTITIONER) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place OLUMIDE T REMI-JOHNSON (NURSE PRACTITIONER)?
The snapshot lists Dallas, Texas for OLUMIDE T REMI-JOHNSON (NURSE PRACTITIONER); download NPPES for the complete set.
What if Dallas, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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