Kelby Johnson, FNP - Medicare Nurse Practitioner in Haskell, TX

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Kelby Johnson, FNP is a medicare enrolled "Nurse Practitioner" in Haskell, Texas. His current practice location is 1417 N 1st St, Haskell, Texas. You can reach out to his office (for appointments etc.) via phone at (940) 228-0612.

Kelby Johnson is licensed to practice in Texas (license number AP144346) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1700424413.

Contact Information

Kelby Johnson, FNP
1417 N 1st St,
Haskell, TX 79521-5435
(940) 228-0612
(940) 228-4161

Map and Direction




Provider's Profile

Full NameKelby Johnson
GenderMale
SpecialityNurse Practitioner
Location1417 N 1st St, Haskell, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700424413
  • Provider Enumeration Date: 12/12/2019
  • Last Update Date: 09/12/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2961837034
  • Enrollment ID: I20200117001321

Medical Identifiers

Medical identifiers for Kelby Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700424413NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner AP144346 (Texas)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. Kelby Johnson allows following entities to bill medicare on his behalf.
Entity NameMccamey County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689899072
PECOS PAC ID: 8628062320
Enrollment ID: O20040414000901
Entity NameMoore County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700991700
PECOS PAC ID: 1254226269
Enrollment ID: O20040430000610
Entity NameHaskell County Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1184607897
PECOS PAC ID: 1355440413
Enrollment ID: O20101014000198

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. Kelby 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
Kelby Johnson, FNP
1417 N 1st St,
Haskell, TX 79521-5435

Ph: (940) 228-0612		Kelby Johnson, FNP
1417 N 1st St,
Haskell, TX 79521-5435

Ph: (940) 228-0612

Reviews and Comments


Nurse Practitioner Nurses in Haskell, TX

Jordan Elaine Earle, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1400 S 1st St, Haskell, TX 79521
Phone: 940-864-8513    Fax: 940-864-2779
Philip Jason Smith, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1 Avenue N, Haskell, TX 79521
Phone: 940-353-6603    
Amy T Pennington, APRN FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1417 N 1st St, Haskell, TX 79521
Phone: 940-228-0612    Fax: 940-228-4161

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.