MR. JASON BRADLEY JOHNSON (NP-C) – Family Nurse Practitioner, NPI 1467752915
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for MR. JASON BRADLEY JOHNSON (NP-C)
901 TURTLE CREEK DR
TYLER, TX 757011947
Phone: (903) 596-3588
Fax: (903) 594-2038
Type: Mailing
700 OLYMPIC PLAZA CIR
SUITE 600
TYLER, TX 757011951
Phone: (903) 596-3844
Fax: (903) 596-3843
Type: Location
8101 S BROADWAY AVE
TYLER, TX 757035469
Phone:
Type: Mailing
925 W Loop 281
Longview, TX 756042918
Phone: (903) 939-7728
Type: Location
2211 S Loop 256
Palestine, TX 758014701
Phone: (903) 939-7500
Fax: (903) 939-7728
Type: Location
3816 N University Dr
Nacogdoches, TX 759652011
Phone: (903) 939-7500
Fax: (903) 939-7728
Type: Location
1123 S Palestine St Ste 300
Athens, TX 757513645
Phone: (903) 937-7500
Fax: (093) 939-7728
Type: Location
305 W 20th St
MT Pleasant, TX 754552327
Phone: (903) 937-7500
Fax: (903) 939-7728
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $368.
Total Amount is formed as General ($368) + Research ($0) + Ownership ($0) = $368.
Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Bioventus LLC ($160).
Total Amount
$368
General + Research + Ownership
Payments
17
Total payment records
General Amount
$368
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bioventus LLC | $160 |
| Medtronic, Inc. | $60 |
| Ferring Pharmaceuticals Inc. | $51 |
| Pacira Pharmaceuticals Incorporated | $33 |
| AXOGEN | $25 |
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: 2011-03-21
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 |
|---|---|---|---|---|
| I20110321000597 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 154 | 112 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 144 | 93 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 142 | 106 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 93 | 61 | $0 |
| 73562 | X-ray of knee, 3 views | 54 | 36 | $0 |
Insurance plans in this area (ZIP 75701)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | TX | |
| Orthopedic Surgery | TX | |
| Physician Assistant | TX | |
| Nurse Practitioner | LA | |
| P O D I A T R Y | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Hand Surgery, Orthopedic Surgery | TX | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX |
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