KAYLA MCCROSKEY JOHNSON
NPI 1104442250
Nurse Practitioner - Family in Bluefield, VA
About Kayla Mccroskey Johnson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAYLA MCCROSKEY JOHNSON (NPI 1104442250) is an individual family provider in Bluefield, Virginia, licensed in Virginia (0024179198) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Clinch Valley Medical Center, and is a graduate of Other (2019).
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 and accepts Medicare assignment
Kayla Mccroskey Johnson 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 Kayla Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Princeton, WV 24740
- Reassigned Medicare billing, West Virginia enrollment
- 6 clinicians in this Medicare group
Pounding Mill, VA 24637
- Reassigned Medicare billing, Virginia enrollment
- 83 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.
Areas of Expertise CMS Part B claims 10
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Clinch Valley Medical Center
Acute Care Hospitals · Richlands, VAPrinceton Community Hospital
Acute Care Hospitals · Princeton, WVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 24605 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Kayla Johnson's NPI number?
The NPI number for Kayla Johnson is 1104442250. It was assigned to this individual provider in the NPPES registry on June 24, 2020.
Where is Kayla Johnson located?
Kayla Johnson practices at 1934 Leatherwood Ln, Bluefield, VA 24605. The listed phone number is (762) 596-6735.
What is Kayla Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kayla Johnson enrolled in Medicare?
Yes. Kayla 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 Kayla Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kayla Johnson reassigns Medicare benefits to 2 organizations: Community Hospices Of America LLC (Princeton, WV) and Clinch Professional Physician Services LLC (Pounding Mill, VA). 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 Kayla Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kayla Johnson affiliated with any hospitals?
According to CMS data, Kayla Johnson is affiliated with Clinch Valley Medical Center and Princeton Community Hospital.
When was this NPI record last updated?
The NPPES record for Kayla Johnson was last updated on January 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kayla Mccroskey Johnson · NPI 1104442250
Family physician in Bluefield, Virginia. Individual provider, active in the CMS NPPES registry since June 24, 2020.
## Identity
- **NPI:** 1104442250 (Entity type: Individual)
- **Enumerated:** June 24, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 0024179198 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1934 LEATHERWOOD LN, Bluefield, VA 24605-2019
- **Phone:** (762) 596-6735
## 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): Community Hospices Of America LLC (NPI 1215487640, Princeton, WV); Clinch Professional Physician Services LLC (NPI 1386329902, Pounding Mill, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** January 26, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1104442250) · Data from the CMS NPPES public registry.