KIRSTIN MARIE JOHNSTON (PA-C) – Physician Assistant, NPI 1477141307

KIRSTIN MARIE JOHNSTON (PA-C) is a healthcare provider. based in Double oak, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA14089 (TX). The NPI Number for KIRSTIN MARIE JOHNSTON (PA-C) is 1477141307

Main info

Female
6 Years Of Experience
Name
KIRSTIN MARIE JOHNSTON (PA-C)
NPI
1477141307
Phone
(972) 966-1980
Address
8501 JUSTIN RD
Enumeration Date
6 January 2021
Last Update Date
19 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2020 (6 years ago)
PAC ID
5597116640
Group Practice PAC ID
1355254210
Professional Enrollment ID
I20240112002619
Address ID
TX752461608DA4001XSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for KIRSTIN MARIE JOHNSTON (PA-C)

  • 8501 JUSTIN RD

    DOUBLE OAK, TX 750773031

    Phone: (972) 966-1980

    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)

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: 2024-01-12

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
I20240112002619IPhysician 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.

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

Insurance plans in this area (ZIP 75077)

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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: 1355254210View full group profile
NameSpecialtyState
Radiation OncologyTX
Nurse PractitionerTX
Internal MedicineTX
-TX
-TX
Clinical Social WorkerTX
-TX
Nurse PractitionerTX
Orthopedic SurgeryTX
Clinical PsychologistTX

Reviews

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Frequently asked questions

Where can patients find KIRSTIN MARIE JOHNSTON (PA-C)'s NPI?
You can confirm KIRSTIN MARIE JOHNSTON (PA-C) with NPI 1477141307; it appears in the national provider directory.
Does this profile mean KIRSTIN MARIE JOHNSTON (PA-C) is currently active?
Yes — KIRSTIN MARIE JOHNSTON (PA-C) appears active in the national provider directory.
Does KIRSTIN MARIE JOHNSTON (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for KIRSTIN MARIE JOHNSTON (PA-C). Clinical services aligned with this taxonomy classification.
What location shows for KIRSTIN MARIE JOHNSTON (PA-C)?
We surface Double Oak, Texas for KIRSTIN MARIE JOHNSTON (PA-C) based on available NPPES addresses.
How can I contact KIRSTIN MARIE JOHNSTON (PA-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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