Kelly Johnson, FNP - Medicare Nurse Practitioner in White Oak, TX

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Kelly Johnson, FNP is a medicare enrolled "Nurse Practitioner - Family" in White Oak, Texas. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice White Oak Family Medicine and her current practice location is 491 E Old Us Highway 80, White Oak, Texas. You can reach out to her office (for appointments etc.) via phone at (430) 625-2001.

Kelly Johnson is licensed to practice in Texas (license number AP140704) 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 1871151365.

Contact Information

Kelly Johnson, FNP
491 E Old Us Highway 80,
White Oak, TX 75693-2106
(430) 625-2001
(949) 404-8290

Map and Direction




Provider's Profile

Full NameKelly Johnson
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location491 E Old Us Highway 80, White Oak, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Johnson graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1871151365
  • Provider Enumeration Date: 05/30/2019
  • Last Update Date: 05/14/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3678808151
  • Enrollment ID: I20190708000471

Medical Identifiers

Medical identifiers for Kelly Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871151365NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP140704 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Premier Home CareLongview, TXHome health agency
Longview Regional Medical CenterLongview, TXHospital
Christus Good Shepherd Medical CenterLongview, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
White Oak Family Medicine27697172482

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 Johnson allows following entities to bill medicare on her behalf.
Entity NameWhite Oak Family Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134787625
PECOS PAC ID: 2769717248
Enrollment ID: O20190708000414

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 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 Johnson, FNP
Po Box 271,
White Oak, TX 75693-0271

Ph: (430) 625-2001		Kelly Johnson, FNP
491 E Old Us Highway 80,
White Oak, TX 75693-2106

Ph: (430) 625-2001

Reviews and Comments


Nurse Practitioner Nurses in White Oak, TX

Angela Dale Sanders, PMHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 502 S White Oak Rd, White Oak, TX 75693
Phone: 903-497-2929    
Mandy Gail Coffey, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 353 Iris Dr, White Oak, TX 75693
Phone: 903-931-1091    

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.