MRS. ALICON KATHLEEN JOHNSON CPNP-AC
NPI 1265796981
Nurse Practitioner - Pediatrics, Critical Care in Jackson, MS

Q: What is Alicon Johnson's NPI number?

The NPI number for Alicon Johnson is 1265796981. It was assigned to this individual provider in the NPPES registry on June 27, 2012.

Q: What is Alicon Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

Q: When was this NPI record last updated?

The NPPES record for Alicon Johnson was last updated on June 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since June 27, 2012PECOS Enrolled

2500 N STATE ST, JACKSON, MS 39216(601) 214-9206(601) 984-4214 Get Directions Write a Review

NPPES record last updated: June 27, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Alicon Kathleen Johnson Cpnp-ac NPPES

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

MRS. ALICON KATHLEEN JOHNSON CPNP-AC (NPI 1265796981) is an individual pediatrics, critical care provider in Jackson, Mississippi, licensed in Mississippi (R862571) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265796981

Entity TypeIndividualFemale

Primary Taxonomy363LP0222X

Provider Legal NameMRS. ALICON KATHLEEN JOHNSONCredential: CPNP-AC

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 214-9206 · Fax (601) 984-4214

Phone(601) 214-9206

Fax(601) 984-4214

Sole ProprietorNo

Enumeration DateJune 27, 2012

✔ NPI 1265796981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0222X

License✔ Licensed in MS · R862571

2500 N STATE ST, Jackson, MS 39216

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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)

Mrs. Alicon Kathleen Johnson Cpnp-ac 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 39216 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.

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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.

LAMAR DAVIS II M.D.

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