Kathryn Elsie Johnson, CPNP - Medicare Nurse Practitioner in Bolivar, MO

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Kathryn Elsie Johnson, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Bolivar, Missouri. Her current practice location is 1195 N Oakland Ave Ste 2, Bolivar, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 777-2121.

Kathryn Elsie Johnson is licensed to practice in Missouri (license number 2017000765) 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 1003260472.

Contact Information

Kathryn Elsie Johnson, CPNP
1195 N Oakland Ave Ste 2,
Bolivar, MO 65613-8025
(417) 777-2121
Not Available

Map and Direction




Provider's Profile

Full NameKathryn Elsie Johnson
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location1195 N Oakland Ave Ste 2, Bolivar, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003260472
  • Provider Enumeration Date: 04/21/2016
  • Last Update Date: 01/28/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 4880962364
  • Enrollment ID: I20170626001373

Medical Identifiers

Medical identifiers for Kathryn Elsie Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003260472NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 2017000765 (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. Kathryn Elsie Johnson allows following entities to bill medicare on her behalf.
Entity NameCitizens Memorial Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568566131
PECOS PAC ID: 4183528169
Enrollment ID: O20040315001374

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. Kathryn Elsie 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
Kathryn Elsie Johnson, CPNP
1195 N Oakland Ave Ste 2,
Bolivar, MO 65613-8025

Ph: (417) 777-2121		Kathryn Elsie Johnson, CPNP
1195 N Oakland Ave Ste 2,
Bolivar, MO 65613-8025

Ph: (417) 777-2121

Reviews and Comments


Nurse Practitioner Nurses in Bolivar, MO

Kyla Inman,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1240 N Butterfield Rd, Bolivar, MO 65613
Phone: 417-326-6021    
Angel Joy-marie Seufert, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1240 N Butterfield Rd, Bolivar, MO 65613
Phone: 417-326-6021    Fax: 417-326-6347
Oma L Shelton, CFNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2230 S Springfield Ave, Suite H-j, Bolivar, MO 65613
Phone: 417-777-4800    
Kaylee Jaynelle Ankrom,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1300 N Oakland Ave, Bolivar, MO 65613
Phone: 417-326-7676    
Kelly M Watson, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1500 N Oakland Ave, Bolivar, MO 65613
Phone: 417-328-4201    Fax: 417-326-3939
Courtney Marie Brummel, MSN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1120 S Springfield Ave, Bolivar, MO 65613
Phone: 417-326-7814    

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).

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