MICHELLE NICOLE JOHNSON (FNP-BC) – Family Nurse Practitioner, NPI 1538936745
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,655 NURSE PRACTITIONER in UT
Provider Addresses for MICHELLE NICOLE JOHNSON (FNP-BC)
390 W WASHINGTON PALMS WAY
WASHINGTON, UT 847808362
Phone: (435) 313-3910
Type: Mailing
1173 S 250 W STE 402
SAINT GEORGE, UT 847707268
Phone: (435) 215-4868
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 $252.
Total Amount is formed as General ($252) + Research ($0) + Ownership ($0) = $252.
Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Boston Scientific Corporation ($252).
Total Amount
$252
General + Research + Ownership
Payments
8
Total payment records
General Amount
$252
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $252 |
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: 2026-02-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20240117000774 | I | Nurse Practitioner | UT | TBD |
| I20240619001377 | I | Nurse Practitioner | AZ | TBD |
| I20260216001425 | I | Nurse Practitioner | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84780)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | UT | |
| Physician Assistant | UT | |
| Nurse Practitioner | NV | |
| Nurse Practitioner | UT | |
| Physician Assistant | UT | |
| Physician Assistant | AZ | |
| Physician Assistant | MI | |
| Internal Medicine | OR | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | WA |
Reviews
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