KELSEY ANNE JOHNSON
NPI 1265062210
Nurse Anesthetist, Certified Registered in Sacramento, CA
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
Specialties & Licenses
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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Kelsey Johnson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sacramento, CA 95819
- Reassigned Medicare billing, California enrollment
- 833 clinicians in this Medicare group
Sacramento, CA 95817
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Regents Of The Univ Of Ca
- 2,570 clinicians in this Medicare group
Roseville, CA 95661
- Reassigned Medicare billing, California enrollment
- 26 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 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.
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.
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.
SACRAMENTO, CA 95819
SACRAMENTO, CA 95819
SACRAMENTO, CA 95819
SACRAMENTO, CA 95819
SACRAMENTO, CA 95819
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.
Which organizations bill Medicare for Kelsey Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Johnson reassigns Medicare benefits to 3 organizations: Cep America - Anesthesia PC (Sacramento, CA), Regents Of The University Of Ca (Sacramento, CA) and Advanced Pain Diagnostic & Solutions, Inc. (Roseville, CA). 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 Kelsey Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Kelsey Anne Johnson · NPI 1265062210
Nurse Anesthetist, Certified Registered physician in Sacramento, California. Individual provider, active in the CMS NPPES registry since January 17, 2020.
## Identity
- **NPI:** 1265062210 (Entity type: Individual)
- **Enumerated:** January 17, 2020
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 95001323 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3941 J ST, Sacramento, CA 95819-3628
- **Phone:** (916) 453-4545
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Cep America - Anesthesia PC (NPI 1770014466, Sacramento, CA); Regents Of The University Of Ca (NPI 1063405074, Sacramento, CA); Advanced Pain Diagnostic & Solutions, Inc. (NPI 1427322635, Roseville, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** December 8, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1265062210) · Data from the CMS NPPES public registry.