Kyle Allen Johnson, NURSE PRACTITIONER - Medicare Nurse Practitioner in Rocky Mount, VA

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Kyle Allen Johnson, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Rocky Mount, Virginia. His current practice location is 30 Technology Dr, Rocky Mount, Virginia. You can reach out to his office (for appointments etc.) via phone at (540) 483-0582.

Kyle Allen Johnson is licensed to practice in Virginia (license number 0024185091) 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 1649991944.

Contact Information

Kyle Allen Johnson, NURSE PRACTITIONER
30 Technology Dr,
Rocky Mount, VA 24151-3008
(540) 483-0582
Not Available

Map and Direction




Provider's Profile

Full NameKyle Allen Johnson
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location30 Technology Dr, Rocky Mount, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649991944
  • Provider Enumeration Date: 09/06/2022
  • Last Update Date: 09/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3870961915
  • Enrollment ID: I20221122001242

Medical Identifiers

Medical identifiers for Kyle Allen Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649991944NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 0024185091 (Virginia)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. Kyle Allen Johnson allows following entities to bill medicare on his behalf.
Entity NamePiedmont Regional Community Services Board
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699754010
PECOS PAC ID: 0345215208
Enrollment ID: O20090319000311

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. Kyle Allen 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
Kyle Allen Johnson, NURSE PRACTITIONER
30 Technology Dr,
Rocky Mount, VA 24151-3008

Ph: (540) 483-0582		Kyle Allen Johnson, NURSE PRACTITIONER
30 Technology Dr,
Rocky Mount, VA 24151-3008

Ph: (540) 483-0582

Reviews and Comments


Nurse Practitioner Nurses in Rocky Mount, VA

Julie Taylor,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 390 S Main St, Suite 201, Rocky Mount, VA 24151
Phone: 540-484-4800    
Mrs. Crystal Rose Buck, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 45 Marketplace Dr, Suite 102, Rocky Mount, VA 24151
Phone: 540-483-3678    Fax: 540-483-3820
Susan Denise Martin, FNP-BC, NP-C DNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 180 Floyd Ave, Rocky Mount, VA 24151
Phone: 540-489-6426    Fax: 540-489-6313
Amber Jones Clary, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 390 S Main St Ste 101, Rocky Mount, VA 24151
Phone: 540-484-4836    
Wanda Hilliard, PMHNP-BC,APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 30 Technology Dr, Rocky Mount, VA 24151
Phone: 540-483-0582    
Shannon Newton, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 720 Orchard Ave, Rocky Mount, VA 24151
Phone: 540-243-1128    

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.