NIKKI SHANNON JOHNSTON (APRN, FNP-BC) – Nurse Practitioner, NPI 1528593472

NIKKI SHANNON JOHNSTON (APRN, FNP-BC) is a healthcare provider. based in Sulphur springs, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, FNP-BC. They hold a License No. 80235 (OK). The NPI Number for NIKKI SHANNON JOHNSTON (APRN, FNP-BC) is 1528593472

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
NIKKI SHANNON JOHNSTON (APRN, FNP-BC)
NPI
1528593472
Phone
(903) 785-3300
Address
105 Medical Cir Bldg 3
Enumeration Date
28 April 2017
Last Update Date
4 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9037853300
Graduation Year
2016 (10 years ago)
PAC ID
3375681703
Group Practice PAC ID
6901862242
Professional Enrollment ID
I20171106000443
Address ID
OK747457364ID1104XRDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for NIKKI SHANNON JOHNSTON (APRN, FNP-BC)

  • 105 Medical Cir Bldg 3

    Sulphur Springs, TX 754822138

    Phone: (903) 785-3300

    Fax: (903) 785-3310

    Type: Location

  • 1104 E Lincoln Rd

    Idabel, OK 747457364

    Phone: (903) 785-3300

    Type: Location

  • 635, Stone Avenue, Paris, Lamar County, Texas, 75460, United States

    PARIS, TX 754609342

    Phone: (903) 785-3300

    Fax: (903) 785-3310

    Type: Mailing

  • 1133 MEDICAL DR

    TYLER, TX 757012130

    Phone: (903) 595-5486

    Fax: (903) 595-5128

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $519.

Total Amount is formed as General ($519) + Research ($0) + Ownership ($0) = $519.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($144).

Total Amount

$519

General + Research + Ownership

Payments

29

Total payment records

General Amount

$519

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2017-11-06

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
I20170802002026INurse PractitionerTXTBD
I20171106000443INurse PractitionerOKTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes178165$0
90966Home dialysis services per month (20 years or older)10933$0
99204New patient office or other outpatient visit, 45-59 minutes9090$0
90961Dialysis services, 2-3 physician visits per month (20 years or older)3523$0
99213Established patient office or other outpatient visit, 20-29 minutes3030$0
View full utilization report →

Insurance plans in this area (ZIP 75482)

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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: 6901862242View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Nephrology, Internal MedicineOK
Nephrology, Internal MedicineTX
Nephrology, Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX

Reviews

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Frequently asked questions

Does NIKKI SHANNON JOHNSTON (APRN, FNP-BC) have a public NPI I can cite?
Public records show NIKKI SHANNON JOHNSTON (APRN, FNP-BC) under NPI 1528593472.
Is NIKKI SHANNON JOHNSTON (APRN, FNP-BC) currently accepting referrals based on NPI status?
Registry metadata lists NIKKI SHANNON JOHNSTON (APRN, FNP-BC) as active.
What services align with NIKKI SHANNON JOHNSTON (APRN, FNP-BC)'s listing?
NIKKI SHANNON JOHNSTON (APRN, FNP-BC)'s public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is NIKKI SHANNON JOHNSTON (APRN, FNP-BC) tied to Sulphur Springs, Texas?
If you are local to Sulphur Springs, Texas, NIKKI SHANNON JOHNSTON (APRN, FNP-BC) may be relevant to your search.
Can I export NIKKI SHANNON JOHNSTON (APRN, FNP-BC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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