KRISTYN JOHNSON APRN
NPI 1043691322
Nurse Practitioner - Family in Little Rock, AR

Q: What is Kristyn Johnson's NPI number?

The NPI number for Kristyn Johnson is 1043691322. It was assigned to this individual provider in the NPPES registry on June 12, 2015.

Q: What is Kristyn Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kristyn Johnson was last updated on June 12, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 12, 2015PECOS Enrolled

9500 KANIS RD, SUITE 101, LITTLE ROCK, AR 72205(501) 202-1902(501) 202-1512 Get Directions Write a Review

NPPES record last updated: June 12, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Kristyn Johnson Aprn NPPES

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

KRISTYN JOHNSON APRN (NPI 1043691322) is an individual family provider in Little Rock, Arkansas, licensed in Arkansas (R088503) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043691322

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKRISTYN JOHNSONCredential: APRN

Location Address9500 KANIS RD, SUITE 101Little Rock, AR 72205-6324

Mailing Address9500 Kanis Rd, Suite 101Little Rock, AR 72205-6324 · (501) 202-1902 · Fax (501) 202-1512

Phone(501) 202-1902

Fax(501) 202-1512

Sole ProprietorNo

Enumeration DateJune 12, 2015

✔ NPI 1043691322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AR · R088503

9500 KANIS RD, Little Rock, AR 72205

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.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)

Kristyn Johnson Aprn 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 72205 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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.

Referred Medical Equipment & Supplies CMS DME claims 17

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604