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

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 NameKelly Laine Johnson
GenderFemale
SpecialityNurse Practitioner
Location300 Pasteur Dr, Stanford, California
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1689984239NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 695748 (California)Secondary
363LA2100XNurse Practitioner - Acute Care 19162 (California)Secondary
363L00000XNurse 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 NameStanford Health Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437292927
PECOS PAC ID: 6709797491
Enrollment ID: O20031124000348
Entity NameLpch Medical Group Div Of Lucile
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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
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Practice Location: 300 Pasteur Dr, Stanford, CA 94305
Phone: 650-723-4000    
Olinda Su Mar, NP
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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    

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.