Mrs Kelly Marlene Johnson, APRN NP-C in Guthrie, OK

Mrs Kelly Marlene Johnson, APRN NP-C is a medicare enrolled "Nurse Practitioner" in Guthrie, Oklahoma. She graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ennoble Hc Nj Pc, Nr Stillwater Llc and her current practice location is 1320 E Oklahoma Ave, Guthrie, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 282-6285.

Mrs Kelly Marlene Johnson is licensed to practice in Oklahoma (license number 101147) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1700345345.

Contact Information

	Mrs Kelly Marlene Johnson, APRN NP-C
	1320 E Oklahoma Ave, Guthrie, OK 73044-3757
	(405) 282-6285
	(405) 282-5731

Map and Direction

Provider's Profile

Full Name	Mrs Kelly Marlene Johnson
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	1320 E Oklahoma Ave, Guthrie, Oklahoma
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Kelly Marlene Johnson graduated from nursing school in 2018

NPI Data:

NPI Number: 1700345345
Provider Enumeration Date: 03/13/2019
Last Update Date: 09/14/2025

Medicare PECOS Information:

PECOS PAC ID: 6103159520
Enrollment ID: I20190617002719

Medical Identifiers

Medical identifiers for Mrs Kelly Marlene Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700345345	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	101147 (Oklahoma)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Complete Home Health Of Western Oklahoma	Enid, OK	Home health agency
Angels Care Home Health Of East Oklahoma	Broken arrow, OK	Home health agency
Stillwater Medical Center	Stillwater, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ennoble Hc Nj Pc	0345638185	82
Nr Stillwater Llc	9830634419	3

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. Mrs Kelly Marlene Johnson allows following entities to bill medicare on her behalf.

Entity Name	Physician Housecalls Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528480811 PECOS PAC ID: 0648400903 Enrollment ID: O20140306000111

Entity Name	Nr Stillwater Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518708635 PECOS PAC ID: 9830634419 Enrollment ID: O20240709000939

Entity Name	Ennoble Hc Nj Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306500764 PECOS PAC ID: 0345638185 Enrollment ID: O20240910002533

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. Mrs Kelly Marlene 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
Mrs Kelly Marlene Johnson, APRN NP-C 2 University Plz Ste 204, Hackensack, NJ 07601-6211 Ph: (551) 295-8223	Mrs Kelly Marlene Johnson, APRN NP-C 1320 E Oklahoma Ave, Guthrie, OK 73044-3757 Ph: (405) 282-6285

Reviews and Comments

Nurse Practitioner Nurses in Guthrie, OK

Candace Herrin, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 S Division St, Guthrie, OK 73044 Phone: 405-293-4504
Kaitlyn Bishop, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8935 Tall Oaks Dr, Guthrie, OK 73044 Phone: 918-497-6753
Ms. Cheryl A. Ross, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 205 S Academy Rd, Guthrie, OK 73044 Phone: 405-282-9449 Fax: 405-828-9403
Marilyn Austin-clark, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 624 E Noble Ave, Guthrie, OK 73044 Phone: 405-471-4914
Ketti Lynn Eddy, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 E Industrial Rd Ste B, Guthrie, OK 73044 Phone: 405-919-7570 Fax: 405-256-9748
Mary Marlo Burk, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1201 S Division St, Guthrie, OK 73044 Phone: 405-293-4504
Meagan Whisenant, RN, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2919 S Division St, Guthrie, OK 73044 Phone: 405-282-8383 Fax: 405-282-6790

Mrs Kelly Marlene Johnson, APRN NP-C - Medicare Nurse Practitioner in Guthrie, OK