Ms Kimeshia Nicole Johnson, FNP-C in Tyler, TX

Ms Kimeshia Nicole Johnson, FNP-C is a medicare enrolled "Nurse Practitioner" in Tyler, Texas. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mother Frances Hospital Regional Health Care Center and her current practice location is 5414 S Broadway Ave, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 581-1601.

Ms Kimeshia Nicole Johnson is licensed to practice in Texas (license number 679053) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1699928655.

Contact Information

	Ms Kimeshia Nicole Johnson, FNP-C
	5414 S Broadway Ave, Tyler, TX 75703-1335
	(903) 581-1601
	(903) 581-1638

Map and Direction

Provider's Profile

Full Name	Ms Kimeshia Nicole Johnson
Gender	Female
Speciality	Nurse Practitioner
Experience	16 Years
Location	5414 S Broadway Ave, Tyler, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Kimeshia Nicole Johnson graduated from nursing school in 2008

NPI Data:

NPI Number: 1699928655
Provider Enumeration Date: 11/03/2008
Last Update Date: 10/13/2014

Medicare PECOS Information:

PECOS PAC ID: 0840321576
Enrollment ID: I20100624000578

Medical Identifiers

Medical identifiers for Ms Kimeshia Nicole Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699928655	NPI	-	NPPES
75-2616977-001	Other	TX	TRICARE
P01246227	Other	TX	RAIL ROAD
P01304442	Other	TX	RAIL ROAD
323946901	Medicaid	TX
0031BV	Other	TX	BCBS BLUE
75-0818167-022	Other	TX	TRICARE
00T71U	Other	TX	BCBS BLUE
75-2616977-002	Other	TX	TRICARE
75-2616977-028	Other	TX	TRICARE
323946902	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	679053 (Texas)	Secondary
363L00000X	Nurse Practitioner	679053 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Christus Mother Frances Hospital	Tyler, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mother Frances Hospital Regional Health Care Center	9234025636	119

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. Ms Kimeshia Nicole Johnson allows following entities to bill medicare on her behalf.

Entity Name	Christus Trinity Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091

Entity Name	Mother Frances Hospital Regional Health Care Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679578439 PECOS PAC ID: 9234025636 Enrollment ID: O20040610001042

Entity Name	Willow Wellness Center, P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346346335 PECOS PAC ID: 7719085653 Enrollment ID: O20070531000236

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. Ms Kimeshia Nicole 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
Ms Kimeshia Nicole Johnson, FNP-C Po Box 841656, Dallas, TX 75284-1656 Ph: (903) 531-5000	Ms Kimeshia Nicole Johnson, FNP-C 5414 S Broadway Ave, Tyler, TX 75703-1335 Ph: (903) 581-1601

Reviews and Comments

Nurse Practitioner Nurses in Tyler, TX

Brandi Dunford, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 910 E Houston St Ste 330, Tyler, TX 75702 Phone: 903-606-7995
Jacob G Thoele, AGACNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 910 E Houston St Ste 550, Tyler, TX 75702 Phone: 903-606-8718 Fax: 903-606-1218
Abram Ambriz, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2608 Mcdonald Rd, Tyler, TX 75701 Phone: 903-595-5514 Fax: 903-262-3715
Anna Elise Fenton, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6210 S Broadway Ave, Tyler, TX 75703 Phone: 903-579-2700 Fax: 903-579-2799
Mary Anne Fitzgerald, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 815 N Broadway Ave, Tyler, TX 75702 Phone: 903-535-0023 Fax: 903-535-0052
Rendall Northcutt, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7200 Fax: 903-877-5080
Kinsey Henry, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1720 S Beckham Ave, Tyler, TX 75701 Phone: 903-630-6211

Ms Kimeshia Nicole Johnson, FNP-C - Medicare Nurse Practitioner in Tyler, TX