Kody Johnson, FNP in Mountain Grove, MO - Medicare Nurse Practitioner

Kody Johnson, FNP is a medicare enrolled "Nurse Practitioner - Family" in Mountain Grove, Missouri. He graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Douglas County Public Health Services Group, Inc. and his current practice location is 1604 C. North Main St, Mountain Grove, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 926-1713.

Kody Johnson is licensed to practice in Missouri (license number 2021021292) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1710559018.

Contact Information

	Kody Johnson, FNP
	1604 C. North Main St, Mountain Grove, MO 65704-6570
	(417) 926-1713
	Not Available

Map and Direction

Provider's Profile

Full Name	Kody Johnson
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	1604 C. North Main St, Mountain Grove, Missouri
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kody Johnson graduated from nursing school in 2021

NPI Data:

NPI Number: 1710559018
Provider Enumeration Date: 07/15/2021
Last Update Date: 07/15/2021

Medicare PECOS Information:

PECOS PAC ID: 3971908609
Enrollment ID: I20210818003857

Medical Identifiers

Medical identifiers for Kody Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710559018	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2021021292 (Missouri)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Douglas County Public Health Services Group, Inc.	3072423052	18

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. Kody Johnson allows following entities to bill medicare on his behalf.

Entity Name	Douglas County Public Health Services Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912904004 PECOS PAC ID: 3072423052 Enrollment ID: O20050301000128

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. Kody 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
Kody Johnson, FNP Po Box 1359, Ava, MO 65608-1359 Ph: (417) 683-5739	Kody Johnson, FNP 1604 C. North Main St, Mountain Grove, MO 65704-6570 Ph: (417) 926-1713

Reviews and Comments

Nurse Practitioner Nurses in Mountain Grove, MO

Mrs. Christy Lin Bramwell, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1905 W 19th St, Mountain Grove, MO 65711 Phone: 417-926-1770 Fax: 417-926-1785
Jenna Cravens, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1602a N Main St, Mountain Grove, MO 65711 Phone: 417-269-2350 Fax: 417-926-5626
Ashlynn Vonderheide, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 W 16th St, Mountain Grove, MO 65711 Phone: 417-926-6111
Elaine Joetta Luna, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 W 16th St, Mountain Grove, MO 65711 Phone: 417-926-6111
Christina M Welton, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Po Box 620, Mountain Grove, MO 65711 Phone: 000-000-0000
Mary Johnson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 W 16th St, Mountain Grove, MO 65711 Phone: 417-926-6111
Connie Armstrong, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1604 N. Main, Mountain Grove, MO 65711 Phone: 417-926-1713 Fax: 417-926-1209

Kody Johnson, FNP - Medicare Nurse Practitioner in Mountain Grove, MO