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KATHRYN ELSIE JOHNSON CPNP
NPI 1003260472
Nurse Practitioner - Pediatrics in Bolivar, MO

Active since April 21, 2016PECOS Enrolled
1195 N OAKLAND AVE STE 2, BOLIVAR, MO 65613(417) 777-2121 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathryn Elsie Johnson Cpnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHRYN ELSIE JOHNSON CPNP (NPI 1003260472) is an individual pediatrics provider in Bolivar, Missouri, licensed in Missouri (2017000765) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003260472
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKATHRYN ELSIE JOHNSONCredential: CPNP
Location Address1195 N OAKLAND AVE STE 2Bolivar, MO 65613-8025
Mailing Address1195 N Oakland Ave Ste 2Bolivar, MO 65613-8025 · (417) 777-2121
Phone(417) 777-2121
Sole ProprietorNo
Enumeration DateApril 21, 2016
Last NPPES UpdateJanuary 28, 2026
NPPES CertifiedJanuary 28, 2026
✔ NPI 1003260472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MO · 2017000765
1195 N OAKLAND AVE STE 2, Bolivar, MO 65613
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryn Elsie Johnson Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65613 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathryn Johnson's NPI number?

The NPI number for Kathryn Johnson is 1003260472. It was assigned to this individual provider in the NPPES registry on April 21, 2016.

Where is Kathryn Johnson located?

Kathryn Johnson practices at 1195 N Oakland Ave Ste 2, Bolivar, MO 65613. The listed phone number is (417) 777-2121.

What is Kathryn Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kathryn Johnson enrolled in Medicare?

Yes. Kathryn Johnson is registered in the Medicare PECOS enrollment system.

What insurance does Kathryn Johnson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Kathryn Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kathryn Johnson was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.