LISA HENRY-JOHNSON (PMHNP-BC) – Nurse Practitioner, NPI 1861605214
Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for LISA HENRY-JOHNSON (PMHNP-BC)
5730 BEAR LAKE DR
SAN ANTONIO, TX 782441302
Phone: (210) 834-1100
Type: Mailing
6800 PARK TEN BLVD STE 200S
SAN ANTONIO, TX 782134293
Phone: (210) 834-1100
Type: Mailing
1 HAVEN FOR HOPE WAY
SAN ANTONIO, TX 782071266
Phone: (210) 220-2100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $1,625.
Total Amount is formed as General ($1,625) + Research ($0) + Ownership ($0) = $1,625.
Last reported payment date: 2024-09-10 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($237).
Total Amount
$1,625
General + Research + Ownership
Payments
15
Total payment records
General Amount
$1,625
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $237 |
| Abbott Laboratories | $220 |
| Silk Road Medical, Inc. | $143 |
| Janssen Pharmaceuticals, Inc | $138 |
| Kyowa Kirin, Inc. | $125 |
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: 2023-03-07
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 |
|---|---|---|---|---|
| I20230307000997 | I | Nurse Practitioner | TX | 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 78244)
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