DR. CARRIE LYNN JOHNSON (M.D.) – Obstetrics & Gynecology Physician, NPI 1174525091
Obstetrics & Gynecology Physician
Main info
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. CARRIE LYNN JOHNSON (M.D.)
PO BOX 2847
CORVALLIS, OR 973392847
Phone:
Type: Mailing
1350 Hickory St
Melbourne, FL 329013224
Phone: (407) 975-0406
Fax: (407) 975-0407
Type: Location
505 NE 87th Ave Ste 160
Vancouver, WA 986641965
Phone: (360) 514-1060
Fax: (360) 514-1065
Type: Location
PO BOX 2147
FORT MYERS, FL 339022147
Phone: (239) 424-1900
Fax: (239) 424-1904
Type: Mailing
1138 COUNTRY CLUB BLVD
CAPE CORAL, FL 339903027
Phone: (239) 424-1900
Fax: (239) 424-1904
Type: Location
Samaritan Pacific Communities Hospital, 930, Southwest Abbey Street, Nye Beach, Newport, Lincoln County, Oregon, 97365, United States
NEWPORT, OR 973654820
Phone: (541) 574-7235
Type: Location
1350 HICKORY ST
MELBOURNE, FL 329013224
Phone: (407) 975-0406
Fax: (407) 975-0407
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $47.
Total Amount is formed as General ($47) + Research ($0) + Ownership ($0) = $47.
Last reported payment date: 2023-05-11 • Largest payer in this snapshot: CooperSurgical, Inc. ($25).
Total Amount
$47
General + Research + Ownership
Payments
2
Total payment records
General Amount
$47
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperSurgical, Inc. | $25 |
| Organon LLC | $22 |
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: 2024-07-25
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 |
|---|---|---|---|---|
| I20090630000431 | I | Obstetrics/Gynecology | FL | TBD |
| I20240725002024 | I | Obstetrics/Gynecology | AR | 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 97339)
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