MRS. KELLEY ERIN JOHNSON (RN, CPNP) – Child & Family Psychiatric/Mental Health Clinical Nurse Specialist, NPI 1942540745
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. KELLEY ERIN JOHNSON (RN, CPNP)
255 SPENCER RD STE 201
SAINT PETERS, MO 633762576
Phone: (636) 939-2550
Type: Mailing
621 S NEW BALLAS RD STE 693A
SAINT LOUIS, MO 631418263
Phone: (314) 251-6898
Fax: (314) 251-4197
Type: Mailing
207 CREEKSIDE OFFICE DRIVE
WENTZVILLE, MO 63385
Phone: (636) 887-0914
Fax: (636) 206-2522
Type: Mailing
207 CREEKSIDE OFFICE DR
WENTZVILLE, MO 633853290
Phone: (636) 887-0914
Fax: (636) 206-2522
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $77.
Total Amount is formed as General ($77) + Research ($0) + Ownership ($0) = $77.
Last reported payment date: 2023-04-18 • Largest payer in this snapshot: Neos Therapeutics, LP ($24).
Total Amount
$77
General + Research + Ownership
Payments
4
Total payment records
General Amount
$77
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Neos Therapeutics, LP | $24 |
| Ironshore Pharmaceuticals Inc. | $22 |
| ABBVIE INC. | $16 |
| Corium, LLC | $15 |
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: 2013-05-29
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 |
|---|---|---|---|---|
| I20130529000500 | I | Nurse Practitioner | MO | 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 63376)
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