MR. DEMETROUS JOHNSTON (PMHNP-BC) – Psychiatry Physician, NPI 1407460413

MR. DEMETROUS JOHNSTON (PMHNP-BC) is a healthcare provider. based in Chesapeake, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 0024180054 (VA). The NPI Number for MR. DEMETROUS JOHNSTON (PMHNP-BC) is 1407460413

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
MR. DEMETROUS JOHNSTON (PMHNP-BC)
NPI
1407460413
Phone
(757) 214-7481
Address
1242 CORKWOOD CIR
Enumeration Date
7 September 2020
Last Update Date
24 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7574360605
Graduation Year
2020 (6 years ago)
PAC ID
4082026125
Group Practice PAC ID
3971945924
Professional Enrollment ID
I20201215002067
Address ID
VA233200768CH809XXPLXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

8,307 NURSE PRACTITIONER in VA

Provider Addresses for MR. DEMETROUS JOHNSTON (PMHNP-BC)

  • 1242 CORKWOOD CIR

    CHESAPEAKE, VA 233205107

    Phone: (757) 214-7481

    Type: Mailing

  • 809 KENT PL

    CHESAPEAKE, VA 233200768

    Phone: (757) 436-0605

    Fax: (833) 449-5172

    Type: Location

  • 2 EATON ST # 909

    HAMPTON, VA 236694054

    Phone: (757) 320-4482

    Fax: (757) 320-4481

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 76 Open Payments records for all available years, with a total value of $2,888.

Total Amount is formed as General ($2,888) + Research ($0) + Ownership ($0) = $2,888.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($863).

Total Amount

$2,888

General + Research + Ownership

Payments

76

Total payment records

General Amount

$2,888

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2020-12-15

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
I20201215002067INurse PractitionerVATBD

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 23320)

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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: 3971945924View full group profile
NameSpecialtyState
Mental Health CounselorVA
Clinical Social WorkerFL
Mental Health CounselorVA
Clinical PsychologistAL
Clinical Social WorkerAL
Clinical PsychologistVA
Nurse PractitionerVA
Clinical Social WorkerAL
Clinical Social WorkerVA
Clinical PsychologistVA

Reviews

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Frequently asked questions

What unique ID ties claims to MR. DEMETROUS JOHNSTON (PMHNP-BC)?
NPI 1407460413 is assigned to MR. DEMETROUS JOHNSTON (PMHNP-BC) under the national enumeration system.
Is MR. DEMETROUS JOHNSTON (PMHNP-BC) currently active in the NPI registry?
CMS-published data lists MR. DEMETROUS JOHNSTON (PMHNP-BC) as an active registrant.
What field does MR. DEMETROUS JOHNSTON (PMHNP-BC) work in?
You can think of MR. DEMETROUS JOHNSTON (PMHNP-BC) as practicing within Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where is MR. DEMETROUS JOHNSTON (PMHNP-BC)'s primary listing?
We display Chesapeake, Virginia because that is what the record indicates for MR. DEMETROUS JOHNSTON (PMHNP-BC).
Is MR. DEMETROUS JOHNSTON (PMHNP-BC) a real provider?
This page reflects official NPPES data for NPI 1407460413. Always confirm identity and privileges with the practice and licensing boards.

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