MS. LAURA R JOHNSON (P.A.) – Physician Assistant, NPI 1417948530

MS. LAURA R JOHNSON (P.A.) is a healthcare provider. based in Austin, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 15-01455 (KS). The NPI Number for MS. LAURA R JOHNSON (P.A.) is 1417948530

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
MS. LAURA R JOHNSON (P.A.)
NPI
1417948530
Phone
(512) 485-5889
Address
9211 WATERFORD CENTRE BLVD
Enumeration Date
31 October 2005
Last Update Date
22 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5124484558
Graduation Year
2002 (24 years ago)
PAC ID
1759365323
Group Practice PAC ID
9739174954
Professional Enrollment ID
I20040614000680
Address ID
TX787386301BE3944X620X301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

8,497 PHYSICIAN ASSISTANT in TX

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Provider Addresses for MS. LAURA R JOHNSON (P.A.)

  • 9211, Waterford Centre Boulevard, Austin, Travis County, Texas, 78758, United States

    STE 200

    AUSTIN, TX 787587679

    Phone: (512) 485-5889

    Fax: (512) 420-0397

    Type: Location

  • Austin Gastroenterology, 4310, James Casey Street, Austin, Travis County, Texas, 78745, United States

    STE 4-A

    AUSTIN, TX 787451251

    Phone: (512) 448-4588

    Fax: (512) 420-0397

    Type: Mailing

  • PO BOX 10597

    AUSTIN, TX 787661597

    Phone: (512) 485-5889

    Fax: (512) 420-0397

    Type: Mailing

  • 170 BENNEY LN STE 201

    DRIPPING SPRINGS, TX 786205559

    Phone: (512) 829-2101

    Fax: (512) 744-0413

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 188 Open Payments records for all available years, with a total value of $3,445.

Total Amount is formed as General ($3,445) + Research ($0) + Ownership ($0) = $3,445.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($994).

Total Amount

$3,445

General + Research + Ownership

Payments

188

Total payment records

General Amount

$3,445

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2004-06-14

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
I20040614000680IPhysician AssistantTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes10195$0
99214Established patient office or other outpatient visit, 30-39 minutes8776$0
99203New patient office or other outpatient visit, 30-44 minutes5252$0
99204New patient office or other outpatient visit, 45-59 minutes3131$0
View full utilization report →

Insurance plans in this area (ZIP 78758)

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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: 9739174954View full group profile
NameSpecialtyState
Nurse PractitionerTX
-TX
G A S T R O E N T E R O L O G YTX
G A S T R O E N T E R O L O G YTX
G A S T R O E N T E R O L O G YTX
Physician AssistantTX
G A S T R O E N T E R O L O G YTX
Internal Medicine, GastroenterologyTX
Physician AssistantTX
G A S T R O E N T E R O L O G YTX

Reviews

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Frequently asked questions

What is MS. LAURA R JOHNSON (P.A.)'s NPI number?
MS. LAURA R JOHNSON (P.A.)'s NPI is 1417948530 — the number used across U.S. healthcare to identify this provider.
Would MS. LAURA R JOHNSON (P.A.) appear as active to a payer?
You can treat MS. LAURA R JOHNSON (P.A.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with MS. LAURA R JOHNSON (P.A.)?
MS. LAURA R JOHNSON (P.A.)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MS. LAURA R JOHNSON (P.A.)?
Travel planning: use Austin, Texas as the reference point for MS. LAURA R JOHNSON (P.A.), then confirm.
When was this NPI issued?
Enumeration for MS. LAURA R JOHNSON (P.A.) is noted as October 31, 2005 where the registry provides it.

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