KELLY JOHNSON
NPI 1013254259
Nurse Practitioner in Longview, WA
About Kelly Johnson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY JOHNSON (NPI 1013254259) is an individual nurse practitioner in Longview, Washington, licensed in Washington (AP70027451) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelly Johnson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelly Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vancouver, WA 98686
- Reassigned Medicare billing, Washington enrollment
- Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
- 2,534 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98632 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kelly Johnson's NPI number?
The NPI number for Kelly Johnson is 1013254259. It was assigned to this individual provider in the NPPES registry on January 8, 2013.
Where is Kelly Johnson located?
Kelly Johnson practices at 1230 7th Ave, Longview, WA 98632. The listed phone number is (800) 813-2000.
What is Kelly Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kelly Johnson enrolled in Medicare?
Yes. Kelly Johnson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelly Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Johnson reassigns Medicare benefits to Manor Care Of Salmon Creek Wa, Association (Vancouver, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kelly Johnson was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kelly Johnson · NPI 1013254259
Nurse Practitioner physician in Longview, Washington. Individual provider, active in the CMS NPPES registry since January 8, 2013.
## Identity
- **NPI:** 1013254259 (Entity type: Individual)
- **Enumerated:** January 8, 2013
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** AP70027451 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 1230 7TH AVE, Longview, WA 98632-3198
- **Phone:** (800) 813-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Manor Care Of Salmon Creek Wa, Association (NPI 1609171081, Vancouver, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1013254259) · Data from the CMS NPPES public registry.