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TONYA DENISE JOHNSON APRN
NPI 1285034629
Nurse Practitioner - Family in Paducah, KY

Active since September 03, 2014PECOS EnrolledAccepts Medicare Assignment
1530 LONE OAK RD, PADUCAH, KY 42003(270) 444-2150(270) 444-2985 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 13, 2025, Nov 20, 2024 (2 updates tracked since 2024).

About Tonya Denise Johnson Aprn NPPES

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

TONYA DENISE JOHNSON APRN (NPI 1285034629) is an individual family provider in Paducah, Kentucky, licensed in Kentucky (3008888) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, is affiliated with Massac Memorial Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1285034629
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTONYA DENISE JOHNSONCredential: APRN
Location Address1530 LONE OAK RDPaducah, KY 42003-7901
Mailing AddressPo Box 636961Cincinnati, OH 45263-6961 · (513) 981-5130 · Fax (513) 981-5015
Phone(270) 444-2150
Fax(270) 444-2985
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 3, 2014
Last NPPES UpdateFebruary 13, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2025
✔ NPI 1285034629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3008888
1530 LONE OAK RD, Paducah, KY 42003
Open in Google Maps ↗

Other Identifiers 1

Medicaid7100323990KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.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

Tonya Denise Johnson Aprn 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 ID244452829
PECOS Enrollment IDI20141114001835
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 Reassignments

15

Medicare enrollment records show Tonya Johnson reassigns Medicare billing to 15 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baptist Health Medical Group Inc
1.9 mi
Family Medicine
2605 KENTUCKY AVE, SUITE 306
Paducah, KY 42003
  • Reassigned Medicare billing, Kentucky enrollment
  • 967 clinicians in this Medicare group
NPI 1922401611 (270) 415-7653
Marshall County Hospital District
20 mi
Family Medicine
619 OLD SYMSONIA RD
Benton, KY 42025
  • Reassigned Medicare billing, Kentucky enrollment
  • 23 clinicians in this Medicare group
NPI 1689778250 (270) 527-2411
Crittenden Community Hospital LLC
34 mi
Rural Health
21234 MARION RD
Fredonia, KY 42411
  • Reassigned Medicare billing, Kentucky enrollment
  • 28 clinicians in this Medicare group
NPI 1841933496 (270) 545-2929
Hospital Medicine Services Of Tennessee PC
250 mi
Hospitalist
600 WILSON CREEK RD
Lawrenceburg, IN 47025
  • Reassigned Medicare billing, Kentucky enrollment
  • 106 clinicians in this Medicare group
NPI 1528433802 (812) 537-1010
Southeastern Physician Services PC
255 mi
Hospitalist
990 OAK RIDGE TPKE
Oak Ridge, TN 37830
  • Reassigned Medicare billing, Kentucky and Tennessee enrollments
  • 358 clinicians in this Medicare group
NPI 1083835441 (865) 481-1000
App Of Tennessee Ed, PLLC
276 mi
Emergency Medicine
907 E LAMAR ALEXANDER PKWY
Maryville, TN 37804
  • Reassigned Medicare billing, Tennessee enrollment
  • 390 clinicians in this Medicare group
NPI 1003230236 (865) 983-7211
Southeastern Emergency Physicians LLC
286 mi
Emergency Medicine
989 MEDICAL PARK DR
Maysville, KY 41056
  • Reassigned Medicare billing, Kentucky and Tennessee enrollments
  • 828 clinicians in this Medicare group
NPI 1356379382 (606) 759-5311
Emergency Coverage, LLC
313 mi
Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, Tennessee enrollment
  • 664 clinicians in this Medicare group
NPI 1427005008 (423) 625-2200
Metro Infectious Disease Consultants, LLC
327 mi
Infectious Disease
901 MCCLINTOCK DR, SUITE 202
Burr Ridge, IL 60527
  • Reassigned Medicare billing, Kentucky enrollment
  • 10 clinicians in this Medicare group
NPI 1235125717 (888) 220-6432
Hospital Physician Services - Southeast Professional Corporation
356 mi
Hospitalist
2151 W SPRING ST
Monroe, GA 30655
  • Reassigned Medicare billing, Georgia and South Carolina enrollments
  • 777 clinicians in this Medicare group
NPI 1760410385 (770) 267-8461

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 7

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
69 services59 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
40 services28 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
33 services21 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
28 services28 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
18 services18 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Massac Memorial Hospital

Critical Access Hospitals · Metropolis, IL
OwnershipProprietary
CMS Certification Number141323
Location28 Chick Street, PO Box 850Metropolis, IL 62960 · Massac County
Emergency services

Baptist Health Paducah

Acute Care Hospitals · Paducah, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180104
Location2501 Kentucky AvenuePaducah, KY 42003 · Mc Cracken County
Emergency services Birthing friendly

Jackson Purchase Medical Center

Acute Care Hospitals · Mayfield, KY
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number180116
Location1099 Medical Center CircleMayfield, KY 42066 · Graves County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42003 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

DR. ADAM DULEY MD
Emergency Medicine
1530 LONE OAK RD
PADUCAH, KY 42003
McCracken County (270) 444-2444
JESSICA GRAVES MD
Emergency Medicine
1530 LONE OAK RD
PADUCAH, KY 42003
McCracken County (270) 444-2444
DAWN ELAINE PINGLETON D.O.
Hospitalist
1530 LONE OAK RD
PADUCAH, KY 42003
McCracken County (270) 444-2394
DR. NANCY N OMORODION MD
Hospitalist
1530 LONE OAK RD
PADUCAH, KY 42003
McCracken County (270) 444-2394
EBEN JORDAN LINDER CRNA
Nurse Anesthetist, Certified Registered
1530 LONE OAK RD
PADUCAH, KY 42003
McCracken County (270) 444-2444
MICHELLE BOHANON RPH, BCPS
Pharmacist (Pharmacotherapy)
1530 LONE OAK RD
PADUCAH, KY 42003
McCracken County (270) 444-2355
BRETT BECHTEL MD
Emergency Medicine
1530 LONE OAK RD
PADUCAH, KY 42003
McCracken County (270) 444-2150
SARAH LYNN RICHARDSON APRN
Nurse Practitioner (Acute Care)
1530 LONE OAK RD
PADUCAH, KY 42003
McCracken County (270) 538-6891

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 Tonya Johnson's NPI number?

The NPI number for Tonya Johnson is 1285034629. It was assigned to this individual provider in the NPPES registry on September 3, 2014.

Where is Tonya Johnson located?

Tonya Johnson practices at 1530 Lone Oak Rd, Paducah, KY 42003. The listed phone number is (270) 444-2150.

What is Tonya Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tonya Johnson enrolled in Medicare?

Yes. Tonya 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 Tonya Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tonya Johnson reassigns Medicare benefits to 15 organizations: Baptist Health Medical Group Inc (Paducah, KY), Marshall County Hospital District (Benton, KY), Crittenden Community Hospital LLC (Fredonia, KY), Hospital Medicine Services Of Tennessee PC (Lawrenceburg, IN), Southeastern Physician Services PC (Oak Ridge, TN) and 10 more organizations, listed in the Medicare section above. 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 Tonya Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tonya Johnson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and Providence Health Plan list Tonya 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 Tonya Johnson affiliated with any hospitals?

According to CMS data, Tonya Johnson is affiliated with Massac Memorial Hospital, Baptist Health Paducah and Jackson Purchase Medical Center.

When was this NPI record last updated?

The NPPES record for Tonya Johnson was last updated on February 13, 2025. 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.