KRISTINE L JOHNSON (M.D.) – Family Medicine Physician, NPI 1023498441

KRISTINE L JOHNSON (M.D.) is a healthcare provider. based in Baraboo, Wisconsin. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 69200-20 (WI). The NPI Number for KRISTINE L JOHNSON (M.D.) is 1023498441

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
KRISTINE L JOHNSON (M.D.)
NPI
1023498441
Phone
(608) 355-3800
Address
1700 TUTTLE ST
Enumeration Date
1 June 2015
Last Update Date
22 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6087455900
Graduation Year
2015 (11 years ago)
PAC ID
3971861311
Group Practice PAC ID
7012827983
Professional Enrollment ID
I20180924001866

Contacts

Secure Messaging
kanderson267145@direct-ehr-ssmhc.com
FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

3,050 FAMILY PRACTICE in WI

Provider Addresses for KRISTINE L JOHNSON (M.D.)

  • 1700 TUTTLE ST

    BARABOO, WI 539133319

    Phone: (608) 355-3800

    Fax: (608) 355-7001

    Type: Mailing

  • 1700 Tuttle St

    Baraboo, WI 53913

    Phone: (608) 355-3800

    Fax: (608) 355-7001

    Type: Location

  • 1836 SOUTH AVE

    LA CROSSE, WI 546015429

    Phone: (608) 782-7300

    Type: Location

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: 2018-09-24

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
I20180924001866IFamily PracticeWITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes281212$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit142142$0
G0008Administration of influenza virus vaccine6665$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage5857$0
99213Established patient office or other outpatient visit, 20-29 minutes5048$0
View full utilization report →

Insurance plans in this area (ZIP 53913)

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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: 7012827983View full group profile
NameSpecialtyState
U R O L O G YWA
-WI
O P T O M E T R YWI
N E U R O S U R G E R YNE
-WI
Physician AssistantWI
Family PracticeWI
Cardiovascular Disease (Cardiology)TX
-WI
Family PracticeWI

Reviews

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Frequently asked questions

Can I verify KRISTINE L JOHNSON (M.D.) with an NPI only?
You can start verification with NPI 1023498441 for KRISTINE L JOHNSON (M.D.), then check state licensing separately.
Is KRISTINE L JOHNSON (M.D.) still practicing?
KRISTINE L JOHNSON (M.D.) is currently listed as active in the public NPI registry.
What is KRISTINE L JOHNSON (M.D.) best known for clinically?
Directory data describes KRISTINE L JOHNSON (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does KRISTINE L JOHNSON (M.D.) list a practice location?
Patients near Baraboo, Wisconsin may find KRISTINE L JOHNSON (M.D.) in results; validate coverage separately.
Why does KRISTINE L JOHNSON (M.D.) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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