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KRISTIN D JOHNSON
NPI 1164588018
Nurse Anesthetist, Certified Registered in Spartanburg, SC

Active since December 28, 2006Accepts Medicare Assignment
101 E WOOD ST, SPARTANBURG, SC 29303(864) 560-6122 Get Directions Write a Review

NPPES record last updated: May 26, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kristin D Johnson NPPES

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

KRISTIN D JOHNSON (NPI 1164588018) is an individual nurse anesthetist, certified registered in Spartanburg, South Carolina, licensed in South Carolina (1375 APRN) and active in the NPI registry since December 2006. He is affiliated with Pelham Medical Center and is a graduate of Medical University Of South Carolina College Of Medicine (2000).

NPPES Registry Identity

NPI1164588018
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameKRISTIN D JOHNSON
Location Address101 E WOOD STSpartanburg, SC 29303-3040
Mailing AddressPo Box 651602Charlotte, NC 28265-1602 · (864) 560-4123
Phone(864) 560-6122
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2000
Enumeration DateDecember 28, 2006
Last NPPES UpdateMay 26, 2009
✔ NPI 1164588018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in SC · 1375 APRN
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
101 E WOOD ST, Spartanburg, SC 29303
Open in Google Maps ↗

Other Identifiers 6

Other576007863SC · Tricare
Medicare UPINQ32551SC
Other430062058SC · Medicare Railroad
Other576007863SC · Bcbs
MedicaidAN0960SC
Medicare PINQ325513365SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next.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

Kristin D 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.

PECOS PAC ID9638119159
PECOS Enrollment IDI20050504000593

Medicare Billing Reassignments

4

Medicare enrollment records show Kristin Johnson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Spartanburg Medical Center
Same address
Thoracic Surgery (Cardiothoracic Vascular Surgery)
225 E WOOD ST
Spartanburg, SC 29303
  • Reassigned Medicare billing, South Carolina enrollment
  • Also billed through NPI 1013161520 (South Carolina), NPI 1053724450 (South Carolina)
  • 754 clinicians in this Medicare group
NPI 1043307887 (864) 583-4420
Pelham Medical Center
18 mi
Cardiovascular Disease
250 WESTMORELAND RD
Greer, SC 29651
  • Reassigned Medicare billing, South Carolina enrollment
  • 179 clinicians in this Medicare group
NPI 1962644773 (864) 530-2108
St Francis Hospital Inc
23 mi
General Acute Care Hospital
125 COMMONWEALTH DR
Greenville, SC 29615
  • Reassigned Medicare billing, South Carolina enrollment
  • 191 clinicians in this Medicare group
NPI 1497796296 (864) 675-4000
Gastroenterology Associates, PA
24 mi
Gastroenterology
200 PATEWOOD DR, SUITE B200
Greenville, SC 29615
  • Reassigned Medicare billing, South Carolina enrollment
  • 112 clinicians in this Medicare group
NPI 1457395295 (864) 232-7338

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.

Pelham Medical Center

Acute Care Hospitals · Greer, SC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420103
Location250 Westmoreland RoadGreer, SC 29651 · Greenville County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29303 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. TONDRE BUCK M.D.
Internal Medicine (Hematology & Oncology)
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-7050
ADAM KEITH RAYNES
Nurse Anesthetist, Certified Registered
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6000
RAJAN BHATT
Student in an Organized Health Care Education/Training Program
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6285
NICHOLE TACKETT DO
Surgery
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6285
PATRICIA C. GRIFFIN MD
Radiology (Radiation Oncology)
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6917
DR. VIKAS DEMBLA M.D.
Internal Medicine (Hematology & Oncology)
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-7050
DR. ANDREW OMOIT EKATAN M.D.
Internal Medicine
101 E WOOD ST, SUITE 401
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6654
STETSON REED BICKLEY M.D.
Radiology (Diagnostic Radiology)
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6522

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 Kristin Johnson's NPI number?

The NPI number for Kristin Johnson is 1164588018. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Where is Kristin Johnson located?

Kristin Johnson practices at 101 E Wood St, Spartanburg, SC 29303. The listed phone number is (864) 560-6122.

What is Kristin Johnson's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Kristin Johnson enrolled in Medicare?

Yes. Kristin 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 Kristin Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristin Johnson reassigns Medicare benefits to 4 organizations: Spartanburg Medical Center (Spartanburg, SC), Pelham Medical Center (Greer, SC), St Francis Hospital Inc (Greenville, SC) and Gastroenterology Associates, PA (Greenville, SC). 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 Kristin Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristin Johnson accept?

Health plans from First Choice Next list Kristin 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 Kristin Johnson affiliated with any hospitals?

According to CMS data, Kristin Johnson is affiliated with Pelham Medical Center.

When was this NPI record last updated?

The NPPES record for Kristin Johnson was last updated on May 26, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.