Debra Ann Johnson, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

57975 Issued in OK

Practice address

12636 Peppertree PL
Oklahoma City, OK 73142-2513

Phone

(405) 823-0965

NPI assigned

Sep 19, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK, KS2 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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advance Physicians GroupGroup PAC ID 0244122083, 23 clinicians

Williams Medical Group Practice, LLCGroup PAC ID 3375832157, 212 clinicians

Immediate Care of Oklahoma LLCGroup PAC ID 2668540774, 34 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Advance Physicians Group

  • Urgent Care Clinic/Center
  • Shawnee, OK
  • NPI 1750395448
  Medicare reassignment Care Compare group NPD
• Immediate Care of Oklahoma LLC

  • Urgent Care Clinic/Center
  • Oklahoma City, OK
  • NPI 1164697694
  Medicare reassignment Care Compare group NPD
• Williams Medical Group Practice, LLC

  • Family Medicine Physician
  • Lawton, OK
  • NPI 1346608809

  KS

  Medicare reassignment Care Compare group NPD
• Edmond Primary Care LLC

  • Family Medicine Physician
  • Edmond, OK
  • NPI 1770344160
  Medicare reassignment
• Immediate Care of Oklahoma

  • Urgent Care Clinic/Center
  • Choctaw, OK
  • NPI 1881448710
  NPD
• Williams Medical Group Practice, LLC

  • Rural Health Clinic/Center
  • Collinsville, OK
  • NPI 1215751508
  NPD

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1144870288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12636 PEPPERTREE PL",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731422513",
            "telephone_number": "405-823-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12636 PEPPERTREE PL",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731422513",
            "telephone_number": "405-823-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "57975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Lynea Johnson
• Darlene G. Johnson, M.D.
• David E Johnson, PT, PHD, FAAOMPT
• David Ford Johnson Jr.
• Debra Johnson, PT
• Delana R. Johnson
• Demarco Johnson
• Destinee Johnson
• Donna A Johnson
• Dorothea Anne Johnson

• Family Nurse Practitioner in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.