Kelly Laine Johnson, NP in Stanford, CA - Medicare Nurse Practitioner

Kelly Laine Johnson, NP is a medicare enrolled "Nurse Practitioner" in Stanford, California. Her current practice location is 300 Pasteur Dr, Stanford, California. You can reach out to her office (for appointments etc.) via phone at (650) 497-8000.

Kelly Laine Johnson is licensed to practice in California (license number 19162) 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 1689984239.

Contact Information

	Kelly Laine Johnson, NP
	300 Pasteur Dr, Stanford, CA 94305-2200
	(650) 497-8000
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Laine Johnson
Gender	Female
Speciality	Nurse Practitioner
Location	300 Pasteur Dr, Stanford, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689984239
Provider Enumeration Date: 10/18/2010
Last Update Date: 03/10/2023

Medicare PECOS Information:

PECOS PAC ID: 1355568635
Enrollment ID: I20180306002080

Medical Identifiers

Medical identifiers for Kelly Laine Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689984239	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	695748 (California)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	19162 (California)	Secondary
363L00000X	Nurse Practitioner	19162 (California)	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. Kelly Laine Johnson allows following entities to bill medicare on her behalf.

Entity Name	Stanford Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348

Entity Name	Lpch Medical Group Div Of Lucile
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232

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. Kelly Laine 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 Address	Practice Location Address
Kelly Laine Johnson, NP 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 497-8000	Kelly Laine Johnson, NP 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 497-8000

Reviews and Comments

Nurse Practitioner Nurses in Stanford, CA

Angie Dee Murkins, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Gloria Le Choi, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Mrs. Joi Mei Soucy, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Olinda Su Mar, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Laura Lynne Asaro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 875 Blake Wilbur Dr, Clinic D, Stanford, CA 94305 Phone: 650-723-6197
Nancy S. Brook, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-498-7103
Mr. Richard Quitevis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-724-2906

Kelly Laine Johnson, NP - Medicare Nurse Practitioner in Stanford, CA