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KAILEY ROBERSON JOHNSON PA-C
NPI 1275204745
Physician Assistant in Shreveport, LA

Active since September 24, 2021PECOS Enrolled
2508 BERT KOUNS INDUSTRIAL LOOP STE 310, SHREVEPORT, LA 71118(318) 212-5880 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 21, 2024, Sep 24, 2021 (2 updates tracked since 2021).

About Kailey Roberson Johnson Pa-c NPPES

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

KAILEY ROBERSON JOHNSON PA-C (NPI 1275204745) is an individual physician assistant in Shreveport, Louisiana, licensed in Louisiana (328816) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275204745
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKAILEY ROBERSON JOHNSONCredential: PA-C
Location Address2508 BERT KOUNS INDUSTRIAL LOOP STE 310Shreveport, LA 71118-3154
Mailing Address6051 Roma Dr Apt 508Shreveport, LA 71105-4670
Phone(318) 212-5880
Sole ProprietorYes
Enumeration DateSeptember 24, 2021
Last NPPES UpdateNovember 21, 20242 updates tracked since enumeration
NPPES CertifiedNovember 21, 2024
✔ NPI 1275204745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in LA · 328816
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2508 BERT KOUNS INDUSTRIAL LOOP STE 310, Shreveport, LA 71118
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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)

Kailey Roberson Johnson Pa-c 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 71118 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BETH NICOLE JAYROE PA-C
Physician Assistant
2508 BERT KOUNS INDUSTRIAL LOOP STE 310
SHREVEPORT, LA 71118
Caddo Parish (318) 212-5880
MR. MARK FREDERICK BROWN M.D.
Surgery (Pediatric Surgery)
2508 BERT KOUNS INDUSTRIAL LOOP STE 310
SHREVEPORT, LA 71118
Caddo Parish (318) 212-5880
DR. KEVIN NEAL BOYKIN M.D.
Surgery (Pediatric Surgery)
2508 BERT KOUNS INDUSTRIAL LOOP STE 310
SHREVEPORT, LA 71118
Caddo Parish (318) 212-5880

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 Kailey Johnson's NPI number?

The NPI number for Kailey Johnson is 1275204745. It was assigned to this individual provider in the NPPES registry on September 24, 2021.

Where is Kailey Johnson located?

Kailey Johnson practices at 2508 Bert Kouns Industrial Loop Ste 310, Shreveport, LA 71118. The listed phone number is (318) 212-5880.

What is Kailey Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kailey Johnson enrolled in Medicare?

Yes. Kailey Johnson is registered in the Medicare PECOS enrollment system.

What insurance does Kailey Johnson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Kailey 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 Kailey Johnson was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.