Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa M Johnson

Individual provider Nurse Practitioner · NPI 1336772771

Lisa M Johnson is a Nurse Practitioner in Bartlesville, Oklahoma. Qualified in 2019, 7 years ago. Practices with Gastroenterology Specialists, Inc, a 22-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
7
Licensed in
OK
In the registry since
2020
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Practice location Address checks out

3400 E Frank Phillips Blvd Ste 703
Bartlesville, OK 74006-2443
Phone: (918) 940-8500
Fax: (918) 940-8399
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 116093 (OK)

Record details

NPI number1336772771
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 13, 2020
Last updated in NPPESJuly 17, 2025
Certification dateJuly 17, 2025
Mailing address11838 E 166th St N, Collinsville, OK 74021-4537

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Gastroenterology Specialists, Inc. — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bartlesville