MRS. NICOLE MARIE JOHNSON RNC-NIC, NNP-BC
NPI 1053617720
Nurse Practitioner - Neonatal in Kansas City, MO
About Mrs. Nicole Marie Johnson Rnc-nic, Nnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. NICOLE MARIE JOHNSON RNC-NIC, NNP-BC (NPI 1053617720) is an individual neonatal provider in Kansas City, Missouri, licensed in Missouri (2010030335) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Nicole Marie Johnson Rnc-nic, Nnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nicole Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tucson, AZ 85711
- Reassigned Medicare billing, Arizona enrollment
- 1,514 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 64108 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.
KANSAS CITY, MO 64108
KANSAS CITY, MO 64108
KANSAS CITY, MO 64108
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 Nicole Johnson's NPI number?
The NPI number for Nicole Johnson is 1053617720. It was assigned to this individual provider in the NPPES registry on January 28, 2011.
Where is Nicole Johnson located?
Nicole Johnson practices at 2401 Gillham Rd, Kansas City, MO 64108. The listed phone number is (402) 327-9262.
What is Nicole Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.
Is Nicole Johnson enrolled in Medicare?
Yes. Nicole Johnson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nicole Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Johnson reassigns Medicare benefits to Banner-University Medical Group (Tucson, AZ). 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 Nicole Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole Johnson accept?
Health plans from Oscar Health Plan, Inc. list Nicole 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 Nicole Johnson was last updated on May 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.
# Mrs. Nicole Marie Johnson, RNC-NIC, NNP-BC · NPI 1053617720
Neonatal physician in Kansas City, Missouri. Individual provider, active in the CMS NPPES registry since January 28, 2011.
## Identity
- **NPI:** 1053617720 (Entity type: Individual)
- **Enumerated:** January 28, 2011
- **Primary specialty:** Nurse Practitioner - Neonatal · taxonomy 363LN0000X
- **State license:** 2010030335 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 2401 GILLHAM RD, Kansas City, MO 64108-4619
- **Phone:** (402) 327-9262
## 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:** Banner-University Medical Group (NPI 1932708328, Tucson, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 28, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1053617720) · Data from the CMS NPPES public registry.