MARY JOHANSON
NPI 1194301192
Pediatrics in Ashland, KY
About Mary Johanson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY JOHANSON (NPI 1194301192) is an individual pediatrics provider in Ashland, Kentucky, licensed in Kentucky (TP529) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Mary Johanson 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 Reassignment
Medicare enrollment records show Mary Johanson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ashland, KY 41101
- Reassigned Medicare billing, Kentucky enrollment
- 531 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
King's Daughters' Medical Center
Acute Care Hospitals · Ashland, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 41101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ASHLAND, KY 41101
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 Mary Johanson's NPI number?
The NPI number for Mary Johanson is 1194301192. It was assigned to this individual provider in the NPPES registry on March 20, 2021.
Where is Mary Johanson located?
Mary Johanson practices at 2201 Lexington Ave, Ashland, KY 41101. The listed phone number is (606) 408-4000.
What is Mary Johanson's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Mary Johanson enrolled in Medicare?
Yes. Mary Johanson 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 organization bills Medicare for Mary Johanson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Johanson reassigns Medicare benefits to Kings Daughters Medical Specialties Inc (Ashland, KY). The 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 Mary Johanson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Johanson accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource and Molina Healthcare list Mary Johanson 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 Mary Johanson affiliated with any hospitals?
According to CMS data, Mary Johanson is affiliated with King's Daughters' Medical Center.
When was this NPI record last updated?
The NPPES record for Mary Johanson was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Mary Johanson · NPI 1194301192
Pediatrics physician in Ashland, Kentucky. Individual provider, active in the CMS NPPES registry since March 20, 2021.
## Identity
- **NPI:** 1194301192 (Entity type: Individual)
- **Enumerated:** March 20, 2021
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** TP529 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 2201 LEXINGTON AVE, Ashland, KY 41101-2843
- **Phone:** (606) 408-4000
## 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:** Kings Daughters Medical Specialties Inc (NPI 1669791323, Ashland, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** August 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1194301192) · Data from the CMS NPPES public registry.