LISA MARIE JOHNSON (NP) – Family Nurse Practitioner, NPI 1922513563
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,366 NURSE PRACTITIONER in OR
Provider Addresses for LISA MARIE JOHNSON (NP)
PO BOX 190
TOPPENISH, WA 989480190
Phone: (509) 865-2395
Fax: (509) 865-0757
Type: Mailing
2275 COMMERCIAL ST
ASTORIA, OR 971033327
Phone: (503) 325-8315
Fax: (503) 338-4198
Type: Location
McIntyre Street, Golden, Jefferson County, Colorado, 80401-4015, United States
GOLDEN, CO 804037445
Phone: (720) 434-4876
Fax: (303) 225-4246
Type: Location
2651 SUNSTONE DR
FORT COLLINS, CO 805255687
Phone: (706) 957-2014
Type: Mailing
5150 RONALD REAGAN BLVD APT 1110
JOHNSTOWN, CO 805346802
Phone: (706) 957-2014
Type: Mailing
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: 2025-11-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 8 Medicare enrollment records; no due dates published yet.
Enrollment records
8
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 |
|---|---|---|---|---|
| I20171219000649 | I | Nurse Practitioner | CO | TBD |
| I20250902001540 | I | Nurse Practitioner | VT | TBD |
| I20250905001273 | I | Nurse Practitioner | MN | TBD |
| I20250908002149 | I | Nurse Practitioner | TX | TBD |
| I20250916000751 | I | Nurse Practitioner | VA | TBD |
| I20250924003881 | I | Nurse Practitioner | OR | TBD |
| I20251001003528 | I | Nurse Practitioner | OH | TBD |
| I20251114003775 | I | Nurse Practitioner | GA | 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 98948)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | UT | |
| Physician Assistant | UT | |
| Nurse Practitioner | NV | |
| Nurse Practitioner | UT | |
| Physician Assistant | UT | |
| Physician Assistant | AZ | |
| Physician Assistant | MI | |
| Internal Medicine | OR | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | UT |
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