NOEL QATARNEH JOHNSON (PA) – Medical Physician Assistant, NPI 1245869957
Medical Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for NOEL QATARNEH JOHNSON (PA)
55 FRUIT ST # 1500
BOSTON, MA 021142696
Phone: (617) 817-7130
Type: Mailing
36 1ST AVE
BOSTON, MA 021294557
Phone: (617) 726-2947
Type: Mailing
8100 ASHTON AVE STE 200
MANASSAS, VA 201095688
Phone: (877) 415-4116
Type: Mailing
14904 Richmond Hwy Ste 406
Woodbridge, VA 221913908
Phone: (877) 415-4116
Type: Location
15195 Heathcote Blvd Ste 210
Haymarket, VA 201696245
Phone: (877) 415-4116
Type: Location
422 Garrisonville Rd Ste 110
Stafford, VA 225541573
Phone: (877) 415-4116
Type: Location
559 Frost Ave Ste 102
Warrenton, VA 201863088
Phone: (877) 415-4116
Type: Location
415 Church St NE Ste 101
Vienna, VA 221804748
Phone: (877) 415-4116
Type: Location
7617 Little River Trpk
Suite 110
Annandale, VA 220032603
Phone: (877) 415-4116
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $2,184.
Total Amount is formed as General ($2,184) + Research ($0) + Ownership ($0) = $2,184.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Medtronic, Inc. ($1,614).
Total Amount
$2,184
General + Research + Ownership
Payments
30
Total payment records
General Amount
$2,184
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2023-03-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20230328000183 | I | Physician Assistant | VA | TBD |
| I20230329003450 | I | Physician Assistant | DC | 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 02114)
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Reviews
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