DR. CRAIG T JOHNSON (MD) – Family Medicine Physician, NPI 1194720813

DR. CRAIG T JOHNSON (MD) is a healthcare provider. based in Amery, Wisconsin. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 24805 (WI). The NPI Number for DR. CRAIG T JOHNSON (MD) is 1194720813

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
DR. CRAIG T JOHNSON (MD)
NPI
1194720813
Phone
(715) 268-8000
Address
265 GRIFFIN ST E
Enumeration Date
17 June 2005
Last Update Date
21 December 2007

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
7152688000
Graduation Year
1981 (45 years ago)
PAC ID
5991608341
Group Practice PAC ID
2769391960
Professional Enrollment ID
I20040202000042
Address ID
WI540011439AM265XXEXXX400
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

3,050 FAMILY PRACTICE in WI

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Provider Addresses for DR. CRAIG T JOHNSON (MD)

  • Griffin Street East, Whispering Waters, Amery, Polk County, Wisconsin, 54001, United States

    AMERY, WI 540011439

    Phone: (715) 268-8000

    Fax: (715) 268-0311

    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: 2004-02-02

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
I20040202000042IFamily 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 54001)

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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: 2769391960View full group profile
NameSpecialtyState
-WI
Nurse PractitionerWI
Family PracticeWI
Registered Dietitian Or Nutrition ProfessionalWI
Internal Medicine, Pediatric MedicineMN
Family PracticeWI
Family PracticeWI
Nurse PractitionerMN
-WI
Emergency MedicineMN

Reviews

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Frequently asked questions

What unique ID ties claims to DR. CRAIG T JOHNSON (MD)?
NPI 1194720813 is assigned to DR. CRAIG T JOHNSON (MD) under the national enumeration system.
Is DR. CRAIG T JOHNSON (MD)'s NPI currently valid?
The extract we use shows DR. CRAIG T JOHNSON (MD) as active.
What kind of provider is DR. CRAIG T JOHNSON (MD)?
The page reflects Family Medicine Physician for DR. CRAIG T JOHNSON (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. CRAIG T JOHNSON (MD)?
The page summarizes Amery, Wisconsin for DR. CRAIG T JOHNSON (MD); expand the address list for detail.
Is DR. CRAIG T JOHNSON (MD) a real provider?
This page reflects official NPPES data for NPI 1194720813. Always confirm identity and privileges with the practice and licensing boards.

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