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

Q: 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.

Q: What is Tonya Johnson's specialty?

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

Q: 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 18 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.

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: August 23, 2026.

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

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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

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Other Identifiers 1

Medicaid7100323990KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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

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, I20191004001459

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.

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 4

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

Murray-Calloway County Hospital

Acute Care Hospitals · Murray, KY

1/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number180027

Location803 Poplar StreetMurray, KY 42071 · Calloway County

Emergency services Birthing friendly

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180040

Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson 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

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