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MR. JOHNNY VILLANUEVA AGUSTIN NP
NPI 1174704845
Nurse Practitioner in Shafter, CA

Active since November 21, 2007PECOS Enrolled
565 KERN ST, SHAFTER, CA 93263(661) 746-4937 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Johnny Villanueva Agustin Np NPPES

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

MR. JOHNNY VILLANUEVA AGUSTIN NP (NPI 1174704845) is an individual nurse practitioner in Shafter, California, licensed in California (95018599) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174704845
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. JOHNNY VILLANUEVA AGUSTINCredential: NP
Location Address565 KERN STShafter, CA 93263-2133
Mailing Address403 Brightstone DrBakersfield, CA 93312-7032 · (661) 333-4997
Phone(661) 746-4937
Sole ProprietorNo
Enumeration DateNovember 21, 2007
Last NPPES UpdateDecember 29, 2021
NPPES CertifiedDecember 29, 2021
✔ NPI 1174704845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95018599
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered Nurse · Community HealthTaxonomy 163WC1500X · License 536811 (CA)
565 KERN ST, Shafter, CA 93263
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Johnny Villanueva Agustin Np 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 93263 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
$91.09 typical visit price
range $59.26 – $178.09
Typical copayment $22.77 (range $14.81 – $44.52)
Most-billed visit code 99203
Established Patient
$104.09 typical visit price
range $19.34 – $145.64
Typical copayment $26.02 (range $4.83 – $36.41)
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.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAE J. KIM, M.D.
Clinic/Center (Primary Care)
565 KERN ST
SHAFTER, CA 93263
Kern County (661) 746-4937
DR. CHAN H. PARK M.D.
Family Medicine
565 KERN ST
SHAFTER, CA 93263
Kern County (661) 746-4937
CARISSA HOLLAND NP-C
Nurse Practitioner (Primary Care)
565 KERN ST
SHAFTER, CA 93263
Kern County (661) 746-4937
VANGUARD MEDICAL CORPORATION
Clinic/Center (Rural Health)
565 KERN ST
SHAFTER, CA 93263
Kern County (661) 746-4937
MIRIAM LILIANA VIELMAN
Nurse Practitioner
565 KERN ST
SHAFTER, CA 93263
Kern County (661) 746-4937
JAE JOON KIM MD
Family Medicine
565 KERN ST
SHAFTER, CA 93263
Kern County (661) 746-4937
MRS. MONICA RODRIGUEZ APRN NP-C, PHN, RN
Nurse Practitioner (Family)
565 KERN ST
SHAFTER, CA 93263
Kern County (661) 746-4937
KIMBERLY GONZALEZ NP-C
Nurse Practitioner (Primary Care)
565 KERN ST
SHAFTER, CA 93263
Kern County (661) 459-1000

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 Johnny Agustin's NPI number?

The NPI number for Johnny Agustin is 1174704845. It was assigned to this individual provider in the NPPES registry on November 21, 2007.

Where is Johnny Agustin located?

Johnny Agustin practices at 565 Kern St, Shafter, CA 93263. The listed phone number is (661) 746-4937.

What is Johnny Agustin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Johnny Agustin enrolled in Medicare?

Yes. Johnny Agustin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Johnny Agustin was last updated on December 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.