JOHNSON N MWANGI (PA-C) – Physician Assistant, NPI 1578748505
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,161 PHYSICIAN ASSISTANT in CO
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Provider Addresses for JOHNSON N MWANGI (PA-C)
5414 S BROADWAY AVE
TYLER, TX 757031335
Phone: (903) 581-1601
Type: Mailing
130, North Academy Boulevard, Colorado Springs, El Paso County, Colorado, 80909, United States
COLORADO SPRINGS, CO 809175152
Phone: (719) 632-5700
Type: Mailing
100, North Academy Boulevard, Colorado Springs, El Paso County, Colorado, 80909, United States
COLORADO SPRINGS, CO 809175147
Phone: (719) 632-5700
Type: Location
5310 HARVEST HILL RD STE 290
DALLAS, TX 752305826
Phone: (214) 420-0650
Type: Mailing
1720 S BECKHAM AVE STE 102
TYLER, TX 757014437
Phone: (903) 618-2125
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 110 Open Payments records for all available years, with a total value of $2,664.
Total Amount is formed as General ($2,664) + Research ($0) + Ownership ($0) = $2,664.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($740).
Total Amount
$2,664
General + Research + Ownership
Payments
110
Total payment records
General Amount
$2,664
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $740 |
| GENZYME CORPORATION | $304 |
| Janssen Biotech, Inc. | $196 |
| Dermavant Sciences, Inc. | $178 |
| PFIZER INC. | $174 |
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: 2025-10-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170510002290 | I | Physician Assistant | TX | TBD |
| I20251028000602 | I | Physician Assistant | OK | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,395 | 216 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 491 | 408 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 305 | 283 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 203 | 203 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 176 | 167 | $0 |
Insurance plans in this area (ZIP 75703)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | TX | |
| Dermatology, Micrographic Dermatologic Surgery (Mds), Dermatology | TX |
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