KATIE ALYSE JOHNSON FNP
NPI 1194285189
Nurse Practitioner - Family in Jackson, TN

Q: What is Katie Johnson's NPI number?

The NPI number for Katie Johnson is 1194285189. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Q: What is Katie Johnson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Katie Johnson was last updated on March 25, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 25, 2019PECOS EnrolledAccepts Medicare Assignment

587 SKYLINE DR, JACKSON, TN 38301(731) 424-8922(731) 423-2922 Get Directions Write a Review

NPPES record last updated: March 25, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Katie Alyse Johnson Fnp NPPES

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

KATIE ALYSE JOHNSON FNP (NPI 1194285189) is an individual family provider in Jackson, Tennessee, licensed in Tennessee (25622) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1194285189

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKATIE ALYSE JOHNSONCredential: FNP

Location Address587 SKYLINE DRJackson, TN 38301-3938

Mailing Address1804 Highway 45 Byp Ste 604Jackson, TN 38305-4403 · (731) 660-7971 · Fax (731) 660-8739

Phone(731) 424-8922

Fax(731) 423-2922

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMarch 25, 2019

✔ NPI 1194285189 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 TN · 25622

587 SKYLINE DR, Jackson, TN 38301

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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

Katie Alyse Johnson Fnp 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 ID8729311022

PECOS Enrollment IDI20190530002669

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 38301 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

JOHN BAKER MD

Internal Medicine (Cardiovascular Disease)