CAROLEEN JOHNSON (APRN) – Nurse Practitioner, NPI 1841257896
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,655 NURSE PRACTITIONER in UT
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Provider Addresses for CAROLEEN JOHNSON (APRN)
Copper View Medical Center, 3556, 9800 South, Maxfield, South Jordan, Salt Lake County, Utah, 84095, United States
#101
SOUTH JORDAN, UT 840953211
Phone: (801) 567-9780
Fax: (801) 567-9826
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $361.
Total Amount is formed as General ($361) + Research ($0) + Ownership ($0) = $361.
Last reported payment date: 2024-10-16 • Largest payer in this snapshot: ABBVIE INC. ($84).
Total Amount
$361
General + Research + Ownership
Payments
19
Total payment records
General Amount
$361
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $84 |
| Lilly USA, LLC | $52 |
| Abbott Laboratories | $47 |
| Novo Nordisk Inc | $35 |
| Medtronic, Inc. | $22 |
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: 2019-04-24
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 |
|---|---|---|---|---|
| I20190424001576 | I | Nurse Practitioner | UT | 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 84095)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | UT | |
| Physician Assistant | UT | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | UT | |
| - | UT | |
| - | UT | |
| Internal Medicine, Pediatric Medicine | UT | |
| - | UT | |
| Physician Assistant | AZ | |
| Physician Assistant | UT |
Reviews
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