RYAN ANTHONY JOHNSON – Physician Assistant, NPI 1578371241
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for RYAN ANTHONY JOHNSON
3333 N Seminary St
Galesburg, IL 614011251
Phone: (309) 344-3161
Type: Location
2500 W Reynolds St
Pontiac, IL 617649784
Phone: (815) 842-2828
Type: Location
1100 E Norris Dr
Ottawa, IL 613501604
Phone: (815) 433-3100
Type: Location
8731 BURR ST
CROWN POINT, IN 463071519
Phone: (219) 689-3831
Type: Mailing
530 NE GLEN OAK AVE
PEORIA, IL 616370001
Phone: (309) 655-2000
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: 2025-03-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250327001914 | I | Physician Assistant | IL | 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 61401)
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