MISS MISCHELLE K JOHNSON (PAC) – Physician Assistant, NPI 1801975982
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
Provider Addresses for MISS MISCHELLE K JOHNSON (PAC)
5900 Balcones Drive Suite 100
Austin, TX 78731
Phone: (602) 888-2344
Fax: (833) 833-2656
Type: Location
401 Ryland St, Suite 200-A
Reno, NV 89502
Phone: (480) 712-8319
Fax: (480) 712-1305
Type: Location
16515 S. 40TH ST, BLDG 9, SUITE 143
PHOENIX, AZ 85048
Phone: (480) 712-8319
Fax: (480) 712-1305
Type: Mailing
3083, South Cottonwood Court, Sienna, Chandler, Maricopa County, Arizona, 85286, United States
CHANDLER, AZ 852862384
Phone: (480) 712-8319
Fax: (480) 712-1305
Type: Location
5900 Balcones Drive Suite 6954
Austin, TX 78731
Phone: (480) 712-8319
Fax: (480) 712-1305
Type: Location
1942 Broadway St, Suite 314C
Boulder, CO 80302
Phone: (480) 712-8319
Fax: (480) 712-1305
Type: Location
14780 W. Mountain View Blvd.
Suite 110
Surprise, AZ 853747280
Phone: (623) 374-7774
Fax: (877) 796-5302
Type: Location
800 5th Avenue, Ste 101-800
Seattle, WA 98104
Phone: (480) 712-8319
Fax: (480) 712-1305
Type: Location
7901 4th St N, Ste 300
Saint Petersburg, FL 33702
Phone: (480) 712-8319
Fax: (480) 712-1305
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $1,319.
Total Amount is formed as General ($1,319) + Research ($0) + Ownership ($0) = $1,319.
Last reported payment date: 2024-07-17 • Largest payer in this snapshot: Solventum Corporation ($1,194).
Total Amount
$1,319
General + Research + Ownership
Payments
8
Total payment records
General Amount
$1,319
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Solventum Corporation | $1,194 |
| Otsuka America Pharmaceutical, Inc. | $125 |
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: 2024-07-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20051010000669 | I | Physician Assistant | AZ | TBD |
| I20220916002016 | I | Physician Assistant | FL | TBD |
| I20230712004305 | I | Physician Assistant | WA | TBD |
| I20240727000688 | I | Physician Assistant | OR | 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 |
|---|---|---|---|---|
| Q4259 | Celera dual layer or celera dual membrane, per square centimeter | 1,211 | 24 | $0 |
| Q4205 | Membrane graft or membrane wrap, per square centimeter | 796 | 24 | $0 |
| 97610 | Therapy procedure using ultrasound | 318 | 61 | $0 |
| 15271 | Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less | 98 | 35 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 60 | 17 | $0 |
Insurance plans in this area (ZIP 78731)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NJ | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| Physician Assistant | OR |
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