JENNIFER LYNN JOHNSON (DO) – Obstetrics & Gynecology Physician, NPI 1356637532

JENNIFER LYNN JOHNSON (DO) is a healthcare provider. based in Newport news, Virginia. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials DO. They hold a License No. 261653 (NY). The NPI Number for JENNIFER LYNN JOHNSON (DO) is 1356637532

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER LYNN JOHNSON (DO)
NPI
1356637532
Phone
(757) 316-5800
Address
856 J CLYDE MORRIS BLVD
Enumeration Date
25 June 2011
Last Update Date
4 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7575944720
Graduation Year
2005 (21 years ago)
PAC ID
7416278049
Group Practice PAC ID
1557271293
Professional Enrollment ID
I20191216002178
Address ID
VA236013102NE10510AVEX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:14State licenses:3Digital endpointsOther names

339 OBSTETRICS/GYNECOLOGY in NV

Provider Addresses for JENNIFER LYNN JOHNSON (DO)

  • 856 J CLYDE MORRIS BLVD

    STE A

    NEWPORT NEWS, VA 236011318

    Phone: (757) 316-5800

    Fax: (757) 534-5190

    Type: Mailing

  • 4700 LAS VEGAS BLVD N

    NELLIS AFB, NV 891916600

    Phone: (702) 653-2300

    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 $374.

Total Amount is formed as General ($374) + Research ($0) + Ownership ($0) = $374.

Last reported payment date: 2024-09-19 • Largest payer in this snapshot: Astellas Pharma US Inc ($125).

Total Amount

$374

General + Research + Ownership

Payments

8

Total payment records

General Amount

$374

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2019-12-16

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190115002954IObstetrics/GynecologyNVTBD
I20191216002178IObstetrics/GynecologyVATBD

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 23601)

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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: 1557271293View full group profile
NameSpecialtyState
Family PracticeGA
Internal MedicineVA
Internal Medicine, Critical Care (Intensivists), Pulmonary DiseaseVA
Family PracticeVA
-VA
Internal Medicine, Pediatric MedicineVA
Family PracticeVA
O B S T E T R I C S/ G Y N E C O L O G YTX
Family PracticeVA
Family PracticeVA

Reviews

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Frequently asked questions

Does JENNIFER LYNN JOHNSON (DO) have a public NPI I can cite?
Public records show JENNIFER LYNN JOHNSON (DO) under NPI 1356637532.
Should I treat JENNIFER LYNN JOHNSON (DO) as an active provider?
Patients and plans typically see JENNIFER LYNN JOHNSON (DO) as active in the national extract.
Which specialty label fits JENNIFER LYNN JOHNSON (DO)?
NPPES ties JENNIFER LYNN JOHNSON (DO) to Obstetrics & Gynecology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to JENNIFER LYNN JOHNSON (DO)?
The directory associates JENNIFER LYNN JOHNSON (DO) with Newport News, Virginia. Check all listed addresses for suites or satellite offices.
Why is information missing for JENNIFER LYNN JOHNSON (DO)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.