Kristin Mariah Johnson, NP is a
Nurse Practitioner - Family based in Three Forks, Montana. Kristin Mariah Johnson is licensed to practice in Montana (license number 29346) and her current practice location is
16 Railway Ave., Three Forks, Montana. She can be reached at her office (for appointments etc.) via phone at
(406) 285-3251.
NPI number for Kristin Mariah Johnson is 1457320327 and her current mailing address is Po Box 1078, Three Forks, Montana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457320327.
Provider's Profile
| Full Name | Kristin Mariah Johnson |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 16 Railway Ave., Three Forks, Montana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1457320327
- Provider Enumeration Date: 03/14/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Kristin Mariah Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457320327 | NPI | - | NPPES |
| P00269935 | Other | | RAILROAD RETIREMENT BOARD |
| NPWR5 | Other | ID | BLUE CROSS |
| 807303400 | Medicaid | ID | |
| 000010152871 | Other | ID | BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | NP720A (Idaho) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 29346 (Montana) | Primary |
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. Kristin Mariah Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kristin Mariah Johnson, NP
Po Box 1078,
Three Forks, MT 59752-1078
Ph: (406) 285-3251 | Kristin Mariah Johnson, NP
16 Railway Ave.,
Three Forks, MT 59752
Ph: (406) 285-3251 |
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