MR. WALTER L JOHNSTON
NPI 1215163498
Nurse Practitioner - Family in Sikeston, MO

Active since June 02, 2009PECOS Enrolled
1008 N MAIN ST, SIKESTON, MO 63801(573) 472-6003(573) 472-6006 Get Directions Write a Review

NPPES record last updated: April 1, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Walter L Johnston NPPES

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

MR. WALTER L JOHNSTON (NPI 1215163498) is an individual family provider in Sikeston, Missouri, licensed in Missouri (2002018631) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215163498
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. WALTER L JOHNSTON
Location Address1008 N MAIN STSikeston, MO 63801-5044
Mailing Address1008 N Main StSikeston, MO 63801-5044 · (573) 472-6003 · Fax (573) 472-6006
Fax(573) 472-6006
Sole ProprietorNo
Enumeration DateJune 2, 2009
Last NPPES UpdateApril 1, 2014
NPI 1215163498 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 MO · 2002018631
1008 N MAIN ST, Sikeston, MO 63801

Other Identifiers 5

Other1215163498MO · Triwest
Medicaid1215163498IL
Medicaid1215163498MO
OtherA03110MO · Healthlink
Other177521MO · Health Alliance

Accepted Insurance

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. Walter L Johnston 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 63801 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$21.30 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier21 claims21 services$4.84 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers20 claims20 services$119.17 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$198.85 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Surgery
1008 N MAIN ST
SIKESTON, MO 63801
Emergency Medicine
1008 N MAIN ST
SIKESTON, MO 63801
Physician Assistant (Medical)
1008 N MAIN ST
SIKESTON, MO 63801
Anesthesiology
1008 N MAIN ST
SIKESTON, MO 63801
Radiology (Diagnostic Radiology)
1008 N MAIN ST
SIKESTON, MO 63801
Nurse Practitioner
1008 N MAIN ST
SIKESTON, MO 63801
Radiology (Diagnostic Radiology)
1008 N MAIN ST, RADIOLOGY DEPARTMENT
SIKESTON, MO 63801
Specialist/Technologist (Athletic Trainer)
1008 N MAIN ST
SIKESTON, MO 63801

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 Walter Johnston's NPI number?

The NPI number for Walter Johnston is 1215163498. It was assigned to this individual provider in the NPPES registry on June 2, 2009.

Where is Walter Johnston located?

Walter Johnston practices at 1008 N Main St, Sikeston, MO 63801. The listed phone number is (573) 472-6003.

What is Walter Johnston's specialty?

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

Is Walter Johnston enrolled in Medicare?

Yes. Walter Johnston is registered in the Medicare PECOS enrollment system.

What insurance does Walter Johnston accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Walter Johnston 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.

When was this NPI record last updated?

The NPPES record for Walter Johnston was last updated on April 1, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.