LISA D JOHNSON C.N.S.
NPI 1558386987
Nurse Practitioner in Sapulpa, OK

Q: What is Lisa Johnson's NPI number?

The NPI number for Lisa Johnson is 1558386987. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Q: What is Lisa Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Johnson was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since July 13, 2006PECOS Enrolled

1125 E CLEVELAND AVE, SAPULPA, OK 74066(918) 224-9310(918) 756-3993 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Lisa D Johnson C.n.s. NPPES

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

LISA D JOHNSON C.N.S. (NPI 1558386987) is an individual nurse practitioner in Sapulpa, Oklahoma, licensed in Oklahoma (R0055928) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558386987

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameLISA D JOHNSONCredential: C.N.S.

Location Address1125 E CLEVELAND AVESapulpa, OK 74066-4641

Mailing AddressPo Box 400Okmulgee, OK 74447-0400 · (918) 756-3334 · Fax (918) 756-3993

Phone(918) 224-9310

Fax(918) 756-3993

Sole ProprietorNo

Enumeration DateJuly 13, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1558386987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in OK · R0055928

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1125 E CLEVELAND AVE, Sapulpa, OK 74066

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Other Identifiers 2

Medicaid1755928OK

Medicare UPINQ58261

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa D Johnson C.n.s. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74066 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

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