Kathleen Marie Johnson, AGACNP-BC - Medicare Nurse Practitioner in Victoria, TX

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Kathleen Marie Johnson, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Adult Health" in Victoria, Texas. Her current practice location is 605 E Locust Ave, Victoria, Texas. You can reach out to her office (for appointments etc.) via phone at (361) 572-4300.

Kathleen Marie Johnson is licensed to practice in Texas (license number 1109163) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1245946680.

Contact Information

Kathleen Marie Johnson, AGACNP-BC
605 E Locust Ave,
Victoria, TX 77901-3933
(361) 572-4300
Not Available

Map and Direction




Provider's Profile

Full NameKathleen Marie Johnson
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location605 E Locust Ave, Victoria, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245946680
  • Provider Enumeration Date: 01/30/2023
  • Last Update Date: 01/30/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4688048044
  • Enrollment ID: I20230327000454

Medical Identifiers

Medical identifiers for Kathleen Marie Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245946680NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 1109163 (Texas)Secondary
363LG0600XNurse Practitioner - Gerontology 1109163 (Texas)Secondary
363LA2200XNurse Practitioner - Adult Health 1109163 (Texas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kathleen Marie Johnson allows following entities to bill medicare on her behalf.
Entity NameCitizens Medical Center County Of Victoria
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205242088
PECOS PAC ID: 3577785096
Enrollment ID: O20141117000499
Entity NameInfinite Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407483175
PECOS PAC ID: 8325477656
Enrollment ID: O20211019000012
Entity NameNexus Health Partners Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356055701
PECOS PAC ID: 1557733201
Enrollment ID: O20230207001958

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathleen Marie Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kathleen Marie Johnson, AGACNP-BC
112 Champlain St,
Victoria, TX 77905-3721

Ph: (843) 303-2147		Kathleen Marie Johnson, AGACNP-BC
605 E Locust Ave,
Victoria, TX 77901-3933

Ph: (361) 572-4300

Reviews and Comments


Nurse Practitioner Nurses in Victoria, TX

Ginger Gaile Carver, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3408 Sam Houston Dr, Victoria, TX 77904
Phone: 361-844-8866    Fax: 361-894-6064
Joyce Howard, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 601 E San Antonio St, Ste 203w, Victoria, TX 77901
Phone: 361-576-0004    Fax: 361-575-1265
Alyssa Canales, MSN, AGACNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 102 Santa Fe, Victoria, TX 77904
Phone: 361-212-6409    
Claudia Lizeth Amador, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 101 W Goodwin Ave, Suite 340, Victoria, TX 77901
Phone: 361-576-9700    
Jessica Lee Helms, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 605 E San Antonio St Ste 310e, Victoria, TX 77901
Phone: 361-485-9600    Fax: 361-485-9610
Jason Cochrum,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2701 Hospital Dr, Victoria, TX 77901
Phone: 361-575-6396    Fax: 361-578-5203
Ann Flowers, RN, MSN, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4504 N Laurent St, Victoria, TX 77901
Phone: 361-573-9999    Fax: 361-573-9998

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.