KAREN JOHNSON CNM
NPI 1225721368
Advanced Practice Midwife in Rocky Mount, NC
About Karen Johnson Cnm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAREN JOHNSON CNM (NPI 1225721368) is an individual advanced practice midwife in Rocky Mount, North Carolina and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lumberton, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Karen Johnson Cnm 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 Reassignments
4Medicare enrollment records show Karen Johnson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rocky Mount, NC 27804
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: Nash Ob Gyn Associates PA
- 11 clinicians in this Medicare group
Rolesville, NC 27571
- Reassigned Medicare billing, North Carolina enrollment
- 1,337 clinicians in this Medicare group
Lillington, NC 27546
- Reassigned Medicare billing, North Carolina enrollment
- 333 clinicians in this Medicare group
Pinehurst, NC 28374
- Reassigned Medicare billing, North Carolina enrollment
- 51 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27804 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 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROCKY MOUNT, NC 27804
ROCKY MOUNT, NC 27804
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 Karen Johnson's NPI number?
The NPI number for Karen Johnson is 1225721368. It was assigned to this individual provider in the NPPES registry on June 2, 2023.
Where is Karen Johnson located?
Karen Johnson practices at 200 Nash Medical Arts Mall, Rocky Mount, NC 27804. The listed phone number is (252) 443-5941.
What is Karen Johnson's specialty?
The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.
Is Karen Johnson enrolled in Medicare?
Yes. Karen 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.
Which organizations bill Medicare for Karen Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karen Johnson reassigns Medicare benefits to 4 organizations: Nash Ob-Gyn Associates, P.A. (Rocky Mount, NC), Unc Physicians Network, LLC (Rolesville, NC), Fhpg, LLC (Lillington, NC) and Mcpc-12, LLC (Pinehurst, NC). Each 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 Karen Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Karen Johnson accept?
Health plans from Cigna Healthcare and UnitedHealthcare list Karen Johnson 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 Karen Johnson was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Karen Johnson, CNM · NPI 1225721368
Advanced Practice Midwife physician in Rocky Mount, North Carolina. Individual provider, active in the CMS NPPES registry since June 2, 2023.
## Identity
- **NPI:** 1225721368 (Entity type: Individual)
- **Enumerated:** June 2, 2023
- **Primary specialty:** Advanced Practice Midwife · taxonomy 367A00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 200 NASH MEDICAL ARTS MALL, Rocky Mount, NC 27804-1470
- **Phone:** (252) 443-5941
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Nash Ob-Gyn Associates, P.A. (NPI 1730146267, Rocky Mount, NC); Unc Physicians Network, LLC (NPI 1063797702, Rolesville, NC); Fhpg, LLC (NPI 1760329486, Lillington, NC); Mcpc-12, LLC (NPI 1003650391, Pinehurst, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** March 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1225721368) · Data from the CMS NPPES public registry.