QUINTA C JOHNSON (DNP, CNM) – Midwife, NPI 1407588320

QUINTA C JOHNSON (DNP, CNM) is a healthcare provider. based in South jordan, Utah. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials DNP, CNM. They hold a License No. 10782332-4402 (UT). The NPI Number for QUINTA C JOHNSON (DNP, CNM) is 1407588320

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
QUINTA C JOHNSON (DNP, CNM)
NPI
1407588320
Phone
(703) 945-7871
Address
5134 W MELLOW WAY
Enumeration Date
29 June 2022
Last Update Date
11 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8015077070
Graduation Year
2023 (3 years ago)
PAC ID
6305381500
Group Practice PAC ID
1850209420
Professional Enrollment ID
I20240711003906
Address ID
UT841075701MU5121XSTXX495
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

113 CERTIFIED NURSE MIDWIFE (CNM) in UT

Provider Addresses for QUINTA C JOHNSON (DNP, CNM)

  • 5134 W MELLOW WAY

    SOUTH JORDAN, UT 840091304

    Phone: (703) 945-7871

    Type: Mailing

  • 506 S 800 E

    SALT LAKE CITY, UT 841022913

    Phone: (703) 945-7871

    Type: Mailing

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: 2024-07-11

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
I20240711003906ICertified Nurse Midwife (Cnm)UTTBD

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 84009)

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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: 1850209420View full group profile

Reviews

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Frequently asked questions

How do payers reference QUINTA C JOHNSON (DNP, CNM)?
For QUINTA C JOHNSON (DNP, CNM), use NPI 1407588320 as the unique 10-digit identifier.
Is there an active status for QUINTA C JOHNSON (DNP, CNM)?
For scheduling context, QUINTA C JOHNSON (DNP, CNM) is shown as active in the registry.
What expertise is attributed to QUINTA C JOHNSON (DNP, CNM)?
QUINTA C JOHNSON (DNP, CNM)'s specialty line reads Midwife. Clinical services aligned with this taxonomy classification.
Is QUINTA C JOHNSON (DNP, CNM) located near South Jordan?
QUINTA C JOHNSON (DNP, CNM) currently maps to South Jordan, Utah in this extract.
Does QUINTA C JOHNSON (DNP, CNM) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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