DR. BRANDON TYLER JOHNSON (DNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1043943996

DR. BRANDON TYLER JOHNSON (DNP) is a healthcare provider. based in Cheyenne, Wyoming. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP. They hold a License No. 52996 (WY). The NPI Number for DR. BRANDON TYLER JOHNSON (DNP) is 1043943996

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRANDON TYLER JOHNSON (DNP)
NPI
1043943996
Phone
Not provided
Address
2448 COUNCIL BLF
Enumeration Date
7 July 2022
Last Update Date
6 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3076329362
Graduation Year
2023 (3 years ago)
PAC ID
6204282411
Group Practice PAC ID
1355733015
Professional Enrollment ID
I20231024003725
Address ID
WY820012760CH510XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

596 NURSE PRACTITIONER in WY

Provider Addresses for DR. BRANDON TYLER JOHNSON (DNP)

  • 2448 COUNCIL BLF

    CHEYENNE, WY 820094417

    Phone:

    Type: Mailing

  • 1174 N 22ND ST

    LARAMIE, WY 820725401

    Phone: (307) 766-3313

    Type: Location

  • 510 W 29TH ST

    CHEYENNE, WY 820012760

    Phone: (307) 632-9362

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $304.

Total Amount is formed as General ($304) + Research ($0) + Ownership ($0) = $304.

Last reported payment date: 2024-07-25 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($99).

Total Amount

$304

General + Research + Ownership

Payments

6

Total payment records

General Amount

$304

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-25

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2023-10-24

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
I20231024003725INurse PractitionerWYTBD

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 82009)

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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: 1355733015View full group profile
NameSpecialtyState
Clinical Social WorkerWY
Clinical Social WorkerWY
Mental Health CounselorCO
Mental Health CounselorWY
Nurse PractitionerWY
Mental Health CounselorWY
Clinical Social WorkerWY
Clinical Social WorkerWY
Mental Health CounselorWY
Mental Health CounselorWY

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. BRANDON TYLER JOHNSON (DNP)?
DR. BRANDON TYLER JOHNSON (DNP) — NPI 1043943996 — is the standard way to identify this listing.
Is DR. BRANDON TYLER JOHNSON (DNP) listed as active for patients and plans?
The listing shows DR. BRANDON TYLER JOHNSON (DNP) as active in the NPI system.
What is DR. BRANDON TYLER JOHNSON (DNP)'s specialty?
The listing groups DR. BRANDON TYLER JOHNSON (DNP) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does DR. BRANDON TYLER JOHNSON (DNP) serve?
DR. BRANDON TYLER JOHNSON (DNP)'s listing highlights Cheyenne, Wyoming; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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