BRENDA L JOHNSON (PA) – Physician Assistant, NPI 1538319587
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for BRENDA L JOHNSON (PA)
801 W INTERSTATE 20 STE 132
ARLINGTON, TX 760175851
Phone: (682) 274-8181
Fax: (817) 764-0175
Type: Mailing
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
DALLAS, TX 753911230
Phone: (972) 997-8000
Fax: (972) 234-0813
Type: Mailing
3705, West 15th Street, Plano, Collin County, Texas, 75075, United States
PLANO, TX 750757753
Phone: (972) 867-3577
Fax: (972) 985-9433
Type: Location
PO BOX 631066
IRVING, TX 750630010
Phone: (469) 294-1402
Type: Mailing
1212 N JOSEY LN STE 110
CARROLLTON, TX 750066103
Phone: (469) 294-1402
Type: Location
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: 2010-11-30
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 |
|---|---|---|---|---|
| I20101130000963 | I | Physician Assistant | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76017)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Surgical Oncology | TX | |
| Medical Oncology, Internal Medicine | TX | |
| Certified Clinical Nurse Specialist (Cns) | TX | |
| Medical Oncology, Internal Medicine | TX | |
| Medical Oncology, Internal Medicine | TX | |
| Hematology/Oncology, Internal Medicine, Medical Oncology | TX | |
| Radiation Oncology | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| - | TX |
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