KELSEY ANNE JOHNSON
NPI 1265062210
Nurse Anesthetist, Certified Registered in Sacramento, CA

Active since January 17, 2020Accepts Medicare Assignment
61.16/100
CMS Quality Rating
3941 J ST, SACRAMENTO, CA 95819(916) 453-4545 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 8, 2021, May 26, 2020, Jan 17, 2020 (3 updates tracked since 2020).

About Kelsey Anne Johnson NPPES

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

KELSEY ANNE JOHNSON (NPI 1265062210) is an individual nurse anesthetist, certified registered in Sacramento, California, licensed in California (95001323) and active in the NPI registry since January 2020. She is a graduate of Other (2020).

NPPES Registry Identity

NPI1265062210
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameKELSEY ANNE JOHNSON
Location Address3941 J STSacramento, CA 95819-3628
Mailing Address2100 Powell St Ste 900Emeryville, CA 94608-1844 · (510) 350-2600 · Fax (510) 879-7084
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 17, 2020
Last NPPES UpdateDecember 8, 20213 updates tracked since enumeration
NPPES CertifiedDecember 8, 2021
NPI 1265062210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in CA · 95001323
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
3941 J ST, Sacramento, CA 95819

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

Kelsey Anne 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 ID345661229
PECOS Enrollment IDI20200601002260

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95819 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

61.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality50.6
Improvement Activities40

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.

Urology
3941 J ST, SUITE 250
SACRAMENTO, CA 95819
Internal Medicine (Cardiovascular Disease)
3941 J ST, SUITE 260
SACRAMENTO, CA 95819
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3941 J ST, SUITE 270
SACRAMENTO, CA 95819
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3941 J ST, SUITE 270
SACRAMENTO, CA 95819
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3941 J ST, SUITE 270
SACRAMENTO, CA 95819
Preferred Provider Organization
3941 J ST, SUITE 250
SACRAMENTO, CA 95819
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3941 J ST, SUITE 270
SACRAMENTO, CA 95819
Surgery (Vascular Surgery)
3941 J ST, SUITE 368
SACRAMENTO, CA 95819

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 Kelsey Johnson's NPI number?

The NPI number for Kelsey Johnson is 1265062210. It was assigned to this individual provider in the NPPES registry on January 17, 2020.

Where is Kelsey Johnson located?

Kelsey Johnson practices at 3941 J St, Sacramento, CA 95819. The listed phone number is (916) 453-4545.

What is Kelsey Johnson's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Kelsey Johnson enrolled in Medicare?

Yes. Kelsey 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.

When was this NPI record last updated?

The NPPES record for Kelsey Johnson was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.