KYLE ROBERT JOHNSON MD
NPI 1063972487
Emergency Medicine in Douglas, WY
About Kyle Robert Johnson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYLE ROBERT JOHNSON MD (NPI 1063972487) is an individual emergency medicine provider in Douglas, Wyoming, licensed in Wyoming (16983A) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Of Converse County, and is a graduate of Oregon Health & Sciences Univ School Of Dentistry (2021).
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 and accepts Medicare assignment
Kyle Robert Johnson Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kyle Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Douglas, WY 82633
- Reassigned Medicare billing, Wyoming enrollment
- Also billed through NPI 1326085408 (Wyoming)
- 131 clinicians in this Medicare group
Afton, WY 83110
- Reassigned Medicare billing, Wyoming enrollment
- Also billed through NPI 1255376406 (Wyoming)
- 112 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Hospital Of Converse County
Critical Access Hospitals · Douglas, WYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 82633 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.
DOUGLAS, WY 82633
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 1063972487. It was assigned to this individual provider in the NPPES registry on March 21, 2019.
Where is Kyle Johnson located?
Kyle Johnson practices at 111 S 5th St, Douglas, WY 82633. The listed phone number is (307) 358-2122.
What is Kyle Johnson's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
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.
Which organizations bill Medicare for Kyle Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Johnson reassigns Medicare benefits to 2 organizations: Memorial Hospital Of Converse County (Douglas, WY) and North Lincoln County Hospital District (Afton, WY). Each 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 Kyle Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kyle Johnson accept?
Health plans from Blue Cross Blue Shield of Wyoming list Kyle 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.
Is Kyle Johnson affiliated with any hospitals?
According to CMS data, Kyle Johnson is affiliated with Memorial Hospital Of Converse County.
When was this NPI record last updated?
The NPPES record for Kyle Johnson was last updated on June 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kyle Robert Johnson, MD · NPI 1063972487
Emergency Medicine physician in Douglas, Wyoming. Individual provider, active in the CMS NPPES registry since March 21, 2019.
## Identity
- **NPI:** 1063972487 (Entity type: Individual)
- **Enumerated:** March 21, 2019
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 16983A (Wyoming)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 111 S 5TH ST, Douglas, WY 82633-2434
- **Phone:** (307) 358-2122
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Memorial Hospital Of Converse County (NPI 1356496491, Douglas, WY); North Lincoln County Hospital District (NPI 1730132523, Afton, WY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Oregon Health & Sciences Univ School Of Dentistry, class of 2021
## Record status
- **NPPES last updated:** June 24, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1063972487) · Data from the CMS NPPES public registry.