| Karl Alan Johnson, FNP-C | |
|
1551 S Second St, Gallup, NM 87301-5881 | |
| (505) 542-0090 | |
| (505) 542-0155 |
| Full Name | Karl Alan Johnson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 1551 S Second St, Gallup, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730781451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 11032336-4405 (Utah) | Secondary |
| 363L00000X | Nurse Practitioner | 1093694 (Texas) | Secondary |
| 363L00000X | Nurse Practitioner | 80531 (New Mexico) | Primary |
| Entity Name | Genesis Eldercare Physician Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548615313 PECOS PAC ID: 9830002534 Enrollment ID: O20170619000933 |
| Entity Name | Alignmed Partners PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881109452 PECOS PAC ID: 9739447400 Enrollment ID: O20180103001472 |
| Entity Name | Post Acute Rehabilitation Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023781028 PECOS PAC ID: 7214334614 Enrollment ID: O20210929000312 |
| Entity Name | New Mexico Vascular Consulting LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508574724 PECOS PAC ID: 5991177016 Enrollment ID: O20230217000775 |
| Entity Name | Alignmed Medical Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366289423 PECOS PAC ID: 3476090440 Enrollment ID: O20240906004063 |
| Mailing Address | Practice Location Address |
|---|---|
| Karl Alan Johnson, FNP-C 1551 S Second St, Gallup, NM 87301-5881 Ph: (505) 542-0090 | Karl Alan Johnson, FNP-C 1551 S Second St, Gallup, NM 87301-5881 Ph: (505) 542-0090 |
Vernon Anthony Osborn, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 N Fifth St, Gallup, NM 87301 Phone: 505-863-3120 Fax: 505-443-8344 |
Solinda L Burgess, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1790 |
Shidawn Tevin Crank, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 |
Mr. Joseph Lee Eliason, CNP, FNP-C, CWS Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 520 Nm - 564, Gallup, NM 87301 Phone: 505-522-3681 Fax: 505-473-9552 |
Mrs. Gail Crawford, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 |
Raelynn Benally, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2111 College Dr, Gallup, NM 87301 Phone: 505-397-5172 Fax: 877-396-1184 |
Mrs. Relindis Mana Akwanga, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 N Fifth St, Gallup, NM 87301 Phone: 505-863-3120 Fax: 505-863-2961 |