Individual provider Active NPI

Quyen Johnson, NP

  • Family Nurse Practitioner
  • Denison, TX
National Provider Identifier
1003221441
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP125305 Issued in TX
Practice address
3126 W FM 120
Denison, TX 75020-1249
Phone
(903) 416-7544
Fax
(903) 416-7545
NPI assigned
Jun 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP125305 TX Primary

Addresses

Primary practice location

3126 W FM 120
Denison, TX 75020-1249

Mailing address

5012 S US Hwy 75, Suite 300
Attn Billing
Denison, TX 75020-4587
Phone (903) 416-7544

Other practice location 1

321 N Highland Ave
Suite 200
Sherman, TX 75092-7378
Phone (903) 893-5141 ext. 4310

Other practice location 2

557 W Fm 120
Pottsboro, TX 75076-9039
Phone (903) 786-3911

Other practice location 3

111 E Fm 120 Ste 104
Pottsboro, TX 75076-7801
Phone (903) 786-3911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180201000369 TX Practitioner - Nurse Practitioner 4486914165 Reassigns benefits to 3 organizations
I20210608002007 OK Practitioner - Nurse Practitioner 4486914165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TexomacareGroup PAC ID 3678555307, shared by 2 NPIs, 47 clinicians

Practice addresses (Care Compare)

1807 W University Blvd
Durant, OK 74701-3011
Phone (580) 920-2273

2001 N Loy Lake Rd
Suite M
Sherman, TX 75090-2837
Phone (940) 284-3884

3126 W FM
Suite 120
Denison, TX 75020-1249
Phone (903) 416-7544

Hospital & facility affiliations

  • Texoma Medical Center Hospital, Denison, TX, CCN 450324
  • Carrus Specialty Hospital Long-term care hospital, Sherman, TX, CCN 452041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP125305TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texomacare Family CurrentSince Jun 29, 2020 Accepting new patients
Integrity Medical Clinic LLC CurrentSince Jul 8, 2020 Accepting new patients
Texomacare Family CurrentSince Jun 29, 2020 Accepting new patients
One Family Clinic Family CurrentSince Jun 22, 2023 Accepting new patients
Texomacare CurrentSince Aug 1, 2021 Accepting new patients

Locations

1807 W University Blvd
Durant, OK 74701
Phone (580) 920-0025

5012 US Highway 75
Ste 300
Denison, TX 75020
Phone (903) 416-6025

5012 US Highway 75
Denison, TX 75020
Phone (903) 416-1726

3126 W FM 120
Denison, TX 75020
Phone (903) 416-7544

5012 US Highway 75
Ste 100
Denison, TX 75020
Phone (903) 416-6325

111 E Highway 120
Ste 104
Pottsboro, TX 75076
Phone (903) 786-3911

557 W FM 120
Pottsboro, TX 75076
Phone (903) 786-3911

2001 N Loy Lake Rd
Ste M
Sherman, TX 75090
Phone (903) 618-3244

109 Bois D Arc St
Whitesboro, TX 76273
Phone (903) 564-3366

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDGFAA/Endpoint/CDGFAA
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/CDGFAA

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1003221441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 S US HWY 75, SUITE 300",
            "address_2": "ATTN BILLING",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204587",
            "telephone_number": "903-416-7544",
            "fax_number": "903-416-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3126 W FM 120",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750201249",
            "telephone_number": "903-416-7544",
            "fax_number": "903-416-7545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 N Highland Ave",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Sherman",
            "state": "TX",
            "postal_code": "750927378",
            "country_code": "US",
            "telephone_number": "903-893-5141 x4310",
            "fax_number": "903-891-4285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "557 W Fm 120",
            "address_purpose": "LOCATION",
            "city": "Pottsboro",
            "state": "TX",
            "postal_code": "750769039",
            "country_code": "US",
            "telephone_number": "903-786-3911",
            "fax_number": "903-786-8630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 E Fm 120 Ste 104",
            "address_purpose": "LOCATION",
            "city": "Pottsboro",
            "state": "TX",
            "postal_code": "750767801",
            "country_code": "US",
            "telephone_number": "903-786-3911",
            "fax_number": "903-786-8630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "QUYEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-24",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP125305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

Verify at the official NPI Registry.