Mrs Kelley Erin Johnson, RN, CPNP in Saint Louis, MO - Medicare Clinical Nurse Specialist

Mrs Kelley Erin Johnson, RN, CPNP is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health, Child & Family" in Saint Louis, Missouri. Her current practice location is 621 S New Ballas Rd Ste 693a, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 251-6898.

Mrs Kelley Erin Johnson is licensed to practice in Missouri (license number 2012041691) 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 1942540745.

Contact Information

	Mrs Kelley Erin Johnson, RN, CPNP
	621 S New Ballas Rd Ste 693a, Saint Louis, MO 63141-8263
	(314) 251-6898
	(314) 251-4197

Map and Direction

Provider's Profile

Full Name	Mrs Kelley Erin Johnson
Gender	Female
Speciality	Clinical Nurse Specialist - Psychiatric/mental Health, Child & Family
Location	621 S New Ballas Rd Ste 693a, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942540745
Provider Enumeration Date: 02/15/2013
Last Update Date: 10/19/2022

Medicare PECOS Information:

PECOS PAC ID: 4082852249
Enrollment ID: I20130529000500

Medical Identifiers

Medical identifiers for Mrs Kelley Erin Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942540745	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	2006006547 (Missouri)	Secondary
364SP0810X	Clinical Nurse Specialist - Psychiatric/mental Health, Child & Family	2012041691 (Missouri)	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. Mrs Kelley Erin Johnson allows following entities to bill medicare on her behalf.

Entity Name	Ssm Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034

Entity Name	Mercy Clinic Child And Adolescent Psychiatry Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265562300 PECOS PAC ID: 7113981721 Enrollment ID: O20041115000078

Entity Name	Mercy Clinic East Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851335228 PECOS PAC ID: 7214827922 Enrollment ID: O20070521000006

Entity Name	Dr Fernando Perez Magnelli Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427364991 PECOS PAC ID: 1951427814 Enrollment ID: O20100928001341

Entity Name	Psychological & Behavioral Consultants Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811915713 PECOS PAC ID: 0446243760 Enrollment ID: O20181204002777

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. Mrs Kelley Erin 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
Mrs Kelley Erin Johnson, RN, CPNP 621 S New Ballas Rd Ste 693a, Saint Louis, MO 63141-8263 Ph: (314) 251-6898	Mrs Kelley Erin Johnson, RN, CPNP 621 S New Ballas Rd Ste 693a, Saint Louis, MO 63141-8263 Ph: (314) 251-6898

Reviews and Comments

Clinical Nurse Specialist Nurses in Saint Louis, MO

Arianna Roth Barnes, Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 Phone: 314-400-0606
Rachel Smigelski-theiss, MSN, RN, ACCNS-AG Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 Phone: 314-738-1457
Madeleine R. Ortman, RN, PCNS, CPNP Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 1 Childrens Pl, Room 10101, Saint Louis, MO 63110 Phone: 314-454-4697 Fax: 314-454-4562
Ms. Michelle Lynn Heffron, AHCNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 11155 Dunn Rd, Saint Louis, MO 63136 Phone: 314-355-3003 Fax: 314-355-0515
Karen M Gregory, APRN BC Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 1034 S Brentwood Blvd, Saint Louis, MO 63117 Phone: 314-779-4730 Fax: 314-977-4612
Mrs. Joan Frances Osterloh, APN Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 3635 Vista Ave, Saint Louis, MO 63110 Phone: 314-577-8341 Fax: 314-577-8315
Ms. Nancy J Nickerson, AHCNS Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 4921 Parkview Pl, Div Surg Ct Adult Cardio, Ste 8a, Saint Louis, MO 63110 Phone: 314-362-7260 Fax: 314-362-6288

Mrs Kelley Erin Johnson, RN, CPNP - Medicare Clinical Nurse Specialist in Saint Louis, MO