KIARA D JOHNSON
NPI 1255999595
Nurse Practitioner in Jackson, MS

Active since June 02, 2019PECOS EnrolledAccepts Medicare Assignment
3502 W NORTHSIDE DR, JACKSON, MS 39213(601) 362-5321 Get Directions Write a Review

NPPES record last updated: April 20, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 20, 2021, Jun 2, 2019 (2 updates tracked since 2019).

About Kiara D Johnson NPPES

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

KIARA D JOHNSON (NPI 1255999595) is an individual nurse practitioner in Jackson, Mississippi, licensed in Mississippi (903298) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Copiah County Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1255999595
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKIARA D JOHNSON
Location Address3502 W NORTHSIDE DRJackson, MS 39213-4454
Mailing Address3502 W Northside DrJackson, MS 39213-4454 · (601) 362-5321
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 2, 2019
Last NPPES UpdateApril 20, 20212 updates tracked since enumeration
NPPES CertifiedApril 20, 2021
✔ NPI 1255999595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MS · 903298
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3502 W NORTHSIDE DR, Jackson, MS 39213

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

Kiara D Johnson 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 ID3577988062
PECOS Enrollment IDI20200730002985
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.

Medicare Billing Reassignment

Medicare enrollment records show Kiara Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
3502 W NORTHSIDE DR
Jackson, MS 39213
  • Reassigned Medicare billing, Mississippi enrollment
  • 69 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
37 services19 patients
Hemoglobin a1c level, by device for home use 83037
A Hemoglobin A1c device for home use allows you to check your average blood sugar levels over the past 3 months. It's a simple, painless test that provides immediate results, helping you manage your diabetes more effectively.
35 services17 patients

Hospital Affiliations CMS Care Compare

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

Copiah County Medical Center

Critical Access Hospitals · Hazlehurst, MS
OwnershipGovernment - Local
CMS Certification Number251327
Location21790 Highway 28Hazlehurst, MS 39083 · Copiah County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39213 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

Social Worker (Clinical)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Nurse Practitioner (Family)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Nurse Practitioner (Family)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Nurse Practitioner (Family)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Clinic/Center (Physical Therapy)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Family Medicine
3502 W NORTHSIDE DR
JACKSON, MS 39213
Dental Hygienist
3502 W NORTHSIDE DR
JACKSON, MS 39213
Nurse Practitioner (Adult Health)
3502 W NORTHSIDE DR
JACKSON, MS 39213

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 Kiara Johnson's NPI number?

The NPI number for Kiara Johnson is 1255999595. It was assigned to this individual provider in the NPPES registry on June 2, 2019.

Where is Kiara Johnson located?

Kiara Johnson practices at 3502 W Northside Dr, Jackson, MS 39213. The listed phone number is (601) 362-5321.

What is Kiara Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kiara Johnson enrolled in Medicare?

Yes. Kiara 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 organization bills Medicare for Kiara Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kiara Johnson reassigns Medicare benefits to Central Mississippi Civic Improvement Association, Inc (Jackson, MS). 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 Kiara Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kiara Johnson accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Kiara 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.

Is Kiara Johnson affiliated with any hospitals?

According to CMS data, Kiara Johnson is affiliated with Copiah County Medical Center.

When was this NPI record last updated?

The NPPES record for Kiara Johnson was last updated on April 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.