MS. DEBRA A JOHNSON (MD) – Obstetrics & Gynecology Physician, NPI 1588653398

MS. DEBRA A JOHNSON (MD) is a healthcare provider. based in Olympia, Washington. specializing in Obstetrics & Gynecology Physician. They hold the professional credentials MD. They hold a License No. MD00037116 (WA). The NPI Number for MS. DEBRA A JOHNSON (MD) is 1588653398

Main info

Female
38 Years Of Experience
Accepts Medicare Assignment
Name
MS. DEBRA A JOHNSON (MD)
NPI
1588653398
Phone
(360) 705-1259
Address
3920 CAPITOL MALL DR SW
Enumeration Date
14 October 2005
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Secondary Phone
3607051259
Graduation Year
1988 (38 years ago)
PAC ID
3678786381
Group Practice PAC ID
4789571613
Professional Enrollment ID
I20101005000599
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MS. DEBRA A JOHNSON (MD)

  • 3920, Capitol Mall Drive Southwest, Olympia, Thurston County, Washington, 98502, United States

    STE 400

    OLYMPIA, WA 985028700

    Phone: (360) 705-1259

    Fax: (360) 705-2757

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-10-05

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
I20101005000599IObstetrics/GynecologyWATBD

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 98502)

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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: 4789571613View full group profile

Reviews

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Frequently asked questions

Is there an official ID for MS. DEBRA A JOHNSON (MD) in U.S. healthcare records?
The official identifier for MS. DEBRA A JOHNSON (MD) is NPI 1588653398.
Would MS. DEBRA A JOHNSON (MD) appear as active to a payer?
You can treat MS. DEBRA A JOHNSON (MD) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to MS. DEBRA A JOHNSON (MD)?
MS. DEBRA A JOHNSON (MD)'s specialty line reads Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MS. DEBRA A JOHNSON (MD)?
Travel planning: use Olympia, Washington as the reference point for MS. DEBRA A JOHNSON (MD), then confirm.
When was this NPI issued?
Enumeration for MS. DEBRA A JOHNSON (MD) is noted as October 14, 2005 where the registry provides it.

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