Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KYLE ERICK JOHNSON P.A.
NPI 1043278005
Physician Assistant - Medical in Tulsa, OK

Active since May 01, 2006PECOS EnrolledAccepts Medicare Assignment
2929 S GARNETT RD, C/O MEDCENTER, TULSA, OK 74129(918) 665-1520(405) 749-4561 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kyle Erick Johnson P.a. NPPES

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

KYLE ERICK JOHNSON P.A. (NPI 1043278005) is an individual medical provider in Tulsa, Oklahoma, licensed in Oklahoma (1250) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1043278005
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameKYLE ERICK JOHNSONCredential: P.A.
Location Address2929 S GARNETT RD, C/O MEDCENTERTulsa, OK 74129-5101
Mailing AddressPo Box 22063, Dept 0289Tulsa, OK 74121-2063 · (405) 751-4664 · Fax (405) 749-4561
Fax(405) 749-4561
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMay 1, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1043278005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in OK · 1250
2929 S GARNETT RD, Tulsa, OK 74129

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kyle Erick Johnson P.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557322674
PECOS Enrollment IDI20041022000116
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
73 services71 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
67 services65 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
52 services26 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
52 services51 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
36 services36 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
19 services18 patients

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.

Clinic/Center (Urgent Care)
2929 S GARNETT RD
TULSA, OK 74129
Emergency Medicine
2929 S GARNETT RD
TULSA, OK 74129
Physician Assistant
2929 S GARNETT RD, C/O MEDCENTER
TULSA, OK 74129
Physician Assistant
2929 S GARNETT RD, C/O MEDCENTER
TULSA, OK 74129
Physician Assistant
2929 S GARNETT RD
TULSA, OK 74129
Physician Assistant
2929 S GARNETT RD
TULSA, OK 74129
Nurse Practitioner (Family)
2929 S GARNETT RD
TULSA, OK 74129
Emergency Medicine
2929 S GARNETT RD
TULSA, OK 74129

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 Kyle Johnson's NPI number?

The NPI number for Kyle Johnson is 1043278005. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Kyle Johnson located?

Kyle Johnson practices at 2929 S Garnett Rd C/O Medcenter, Tulsa, OK 74129. The listed phone number is (918) 665-1520.

What is Kyle Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kyle Johnson enrolled in Medicare?

Yes. Kyle Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kyle Johnson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.