JENNIFER LYNN JOHNSON (DO) – Obstetrics & Gynecology Physician, NPI 1356637532
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
Top Companies
Largest payers in this snapshot
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190115002954 | I | Obstetrics/Gynecology | NV | TBD |
| I20191216002178 | I | Obstetrics/Gynecology | VA | 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 23601)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Family Practice | GA | |
| Internal Medicine | VA | |
| Internal Medicine, Critical Care (Intensivists), Pulmonary Disease | VA | |
| Family Practice | VA | |
| - | VA | |
| Internal Medicine, Pediatric Medicine | VA | |
| Family Practice | VA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| Family Practice | VA | |
| Family Practice | VA |
Reviews
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