MEGHAN JOHNSON – Family Nurse Practitioner, NPI 1275204604

MEGHAN JOHNSON is a healthcare provider. based in Stoughton, Wisconsin. specializing in NURSE PRACTITIONER. They hold a License No. 11477-33 (WI). The NPI Number for MEGHAN JOHNSON is 1275204604

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MEGHAN JOHNSON
NPI
1275204604
Phone
(608) 417-8700
Address
100 SILVERADO DR
Enumeration Date
24 September 2021
Last Update Date
17 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2022 (4 years ago)
PAC ID
6800286170
Group Practice PAC ID
9436061363
Professional Enrollment ID
I20211130001132
Address ID
WI548433606HA11040RDXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:4State licenses:2Digital endpointsOther names

6,035 NURSE PRACTITIONER in WI

Provider Addresses for MEGHAN JOHNSON

  • 100 SILVERADO DR

    STOUGHTON, WI 535895406

    Phone: (608) 417-8700

    Fax: (608) 417-8701

    Type: Mailing

  • 11040 N STATE ROAD 77

    HAYWARD, WI 548433606

    Phone: (715) 934-4910

    Fax: (715) 934-9620

    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: 2021-11-30

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
I20211130001132INurse PractitionerWITBD

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 minutes5947$0
99213Established patient office or other outpatient visit, 20-29 minutes5447$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1818$0
99212Established patient office or other outpatient visit, 10-19 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 53589)

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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: 9436061363View full group profile
NameSpecialtyState
Nurse PractitionerWI
Family PracticeWI
Physical Therapist In Private PracticeWI
Family PracticeWI
Emergency Medicine, Family PracticeKS
Orthopedic Surgery, Sports MedicineWI
Certified Registered Nurse Anesthetist (Crna)WI
Certified Registered Nurse Anesthetist (Crna)WI
Emergency Medicine, Family PracticeWI
General SurgeryWI

Reviews

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Frequently asked questions

Can I verify MEGHAN JOHNSON with an NPI only?
You can start verification with NPI 1275204604 for MEGHAN JOHNSON, then check state licensing separately.
Can I rely on MEGHAN JOHNSON being an active provider?
As of the registry snapshot, MEGHAN JOHNSON is marked active.
What healthcare role does MEGHAN JOHNSON hold?
Scheduling teams often label MEGHAN JOHNSON under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for MEGHAN JOHNSON?
MEGHAN JOHNSON's geographic hint is Stoughton, Wisconsin in our summary view.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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