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KAITLYN ANN JOHNSON FNP-C
NPI 1184440794
Nurse Practitioner - Family in Mount Carmel, IL

Active since November 27, 2024PECOS EnrolledAccepts Medicare Assignment
1418 COLLEGE DR, MOUNT CARMEL, IL 62863(618) 553-4488 Get Directions Write a Review

NPPES record last updated: November 27, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kaitlyn Ann Johnson Fnp-c NPPES

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

KAITLYN ANN JOHNSON FNP-C (NPI 1184440794) is an individual family provider in Mount Carmel, Illinois, licensed in Illinois (209030912) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS, is affiliated with Wabash General Hospital 1, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1184440794
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAITLYN ANN JOHNSONCredential: FNP-C
Location Address1418 COLLEGE DRMount Carmel, IL 62863-2638
Mailing AddressPo Box 145Allendale, IL 62410-0145 · (618) 553-4488
Phone(618) 553-4488
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 27, 2024
NPPES CertifiedNovember 27, 2024
✔ NPI 1184440794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209030912
1418 COLLEGE DR, Mount Carmel, IL 62863
Open in Google Maps ↗

Other Names 1

Former Name (1)Kaitlyn Ann Knollenberg

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kaitlyn Ann Johnson Fnp-c 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 ID8022530070
PECOS Enrollment IDI20250319001314
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wabash General Hospital 1

Critical Access Hospitals · Mount Carmel, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141327
Location1418 College DriveMount Carmel, IL 62863 · Wabash County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62863 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 20

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

DR. KAMATCHI ONDIVEERAPPAN MD
Emergency Medicine
1418 COLLEGE DR
MOUNT CARMEL, IL 62863
Wabash County (618) 263-6302
WABASH GENERAL HOSPITAL DISTRICT
Medicare Defined Swing Bed Unit
1418 COLLEGE DR
MOUNT CARMEL, IL 62863
Wabash County (618) 262-8621
DR. MARY GRACE SCHROEDER AUD
Audiologist
1418 COLLEGE DR
MOUNT CARMEL, IL 62863
Wabash County (618) 262-8621
WABASH GENERAL HOSPITAL DISTRICT
General Acute Care Hospital (Critical Access)
1418 COLLEGE DR
MOUNT CARMEL, IL 62863
Wabash County (618) 262-8621
WABASH GENERAL HOSPITAL DISTRICT
Ambulance
1418 COLLEGE DR
MOUNT CARMEL, IL 62863
Wabash County (618) 262-8621
ELLIE RAVEN STEINHART
Physician Assistant
1418 COLLEGE DR
MOUNT CARMEL, IL 62863
Wabash County (161) 826-2861
KASEY LEIGH PEARSON PA-C
Physician Assistant (Medical)
1418 COLLEGE DR
MOUNT CARMEL, IL 62863
Wabash County (618) 262-8621
MISS PAIGE EMILEE HOCKING PA-C
Physician Assistant (Medical)
1418 COLLEGE DR
MOUNT CARMEL, IL 62863
Wabash County (618) 263-3700

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 Kaitlyn Johnson's NPI number?

The NPI number for Kaitlyn Johnson is 1184440794. It was assigned to this individual provider in the NPPES registry on November 27, 2024. The provider is also known as Kaitlyn Ann Knollenberg.

Where is Kaitlyn Johnson located?

Kaitlyn Johnson practices at 1418 College Dr, Mount Carmel, IL 62863. The listed phone number is (618) 553-4488.

What is Kaitlyn Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kaitlyn Johnson enrolled in Medicare?

Yes. Kaitlyn 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.

Is Kaitlyn Johnson affiliated with any hospitals?

According to CMS data, Kaitlyn Johnson is affiliated with Wabash General Hospital 1.

When was this NPI record last updated?

The NPPES record for Kaitlyn Johnson was last updated on November 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.