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DENISE WAYNETTE JOHNSON P.A.-C
NPI 1275844664
Physician Assistant - Medical in Clinton, OK

Active since June 30, 2010PECOS Enrolled
1701 SOUTH 4TH, CLINTON, OK 73601(580) 331-2200(580) 331-2239 Get Directions Write a Review

NPPES record last updated: February 28, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Denise Waynette Johnson P.a.-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DENISE WAYNETTE JOHNSON P.A.-C (NPI 1275844664) is an individual medical provider in Clinton, Oklahoma, licensed in Oklahoma (1898) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275844664
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameDENISE WAYNETTE JOHNSONCredential: P.A.-C
Location Address1701 SOUTH 4THClinton, OK 73601
Mailing Address1701 South 4thClinton, OK 73601 · (580) 331-2296 · Fax (580) 331-2267
Phone(580) 331-2200
Fax(580) 331-2239
Sole ProprietorYes
Enumeration DateJune 30, 2010
Last NPPES UpdateFebruary 28, 2017
✔ NPI 1275844664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in OK · 1898
1701 SOUTH 4TH, Clinton, OK 73601
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Denise Waynette Johnson P.a.-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STATE OF OKLAHOMA
Skilled Nursing Facility
1701 SOUTH 4TH
CLINTON, OK 73601
Custer County (580) 331-2200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Denise Johnson's NPI number?

The NPI number for Denise Johnson is 1275844664. It was assigned to this individual provider in the NPPES registry on June 30, 2010.

Where is Denise Johnson located?

Denise Johnson practices at 1701 South 4th, Clinton, OK 73601. The listed phone number is (580) 331-2200.

What is Denise Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Denise Johnson enrolled in Medicare?

Yes. Denise Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Denise Johnson was last updated on February 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.