Tyler Keith Johnson, APRN - Medicare Nurse Practitioner in Waco, TX

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Tyler Keith Johnson, APRN is a medicare enrolled "Nurse Practitioner - Acute Care" in Waco, Texas. He graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Legacy Urgent Care Pa, Providence Health Alliance and his current practice location is 6901 Medical Pkwy, Waco, Texas. You can reach out to his office (for appointments etc.) via phone at (254) 751-4180.

Tyler Keith Johnson is licensed to practice in Texas (license number 1165582) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1912748880.

Contact Information

Tyler Keith Johnson, APRN
6901 Medical Pkwy,
Waco, TX 76712-7910
(254) 751-4180
Not Available

Map and Direction




Provider's Profile

Full NameTyler Keith Johnson
GenderMale
SpecialityNurse Practitioner
Experience2 Years
Location6901 Medical Pkwy, Waco, Texas
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tyler Keith Johnson graduated from nursing school in 2024
  NPI Data:
  • NPI Number: 1912748880
  • Provider Enumeration Date: 06/04/2024
  • Last Update Date: 06/04/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1557806221
  • Enrollment ID: I20240717003841

Medical Identifiers

Medical identifiers for Tyler Keith Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912748880NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 1165582 (Texas)Secondary
363LA2100XNurse Practitioner - Acute Care 1165582 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension ProvidenceWaco, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Legacy Urgent Care Pa3072679828157
Providence Health Alliance6305731068119

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. Tyler Keith Johnson allows following entities to bill medicare on his behalf.
Entity NameProvidence Health Alliance
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932210838
PECOS PAC ID: 6305731068
Enrollment ID: O20040220000307
Entity NameTravis County Emergency Physicians PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962440933
PECOS PAC ID: 0840289468
Enrollment ID: O20040510000492
Entity NameLegacy Urgent Care PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568622272
PECOS PAC ID: 3072679828
Enrollment ID: O20090304000140

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. Tyler Keith 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
Tyler Keith Johnson, APRN
6901 Medical Pkwy,
Waco, TX 76712-7910

Ph: (254) 751-4180		Tyler Keith Johnson, APRN
6901 Medical Pkwy,
Waco, TX 76712-7910

Ph: (254) 751-4180

Reviews and Comments


Nurse Practitioner Nurses in Waco, TX

Leslie P Smith, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1800 Gurley Lane, Waco, TX 76706
Phone: 254-313-6000    Fax: 254-313-4531
Tyler Adam Brown,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 120 Hillcrest Medical Blvd Ste 200, Waco, TX 76712
Phone: 877-724-5437    
Eidel Nerli Adams,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6901 Medical Pkwy, Waco, TX 76712
Phone: 254-751-4000    
Manita Lamichhane, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1311 S 5th St, Waco, TX 76798
Phone: 254-710-2292    
Mrs. Lori Elaine Hutson, RNC NNP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712
Phone: 254-202-2000    
Emily Heeringa, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712
Phone: 254-202-2000    
Jared Blake Griffin, NNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712
Phone: 254-202-2900    

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.