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NICKLETT R JOHNSTON NP
NPI 1356484596
Nurse Practitioner - Family in Benson, AZ

Active since February 15, 2007PECOS Enrolled
688 W 4TH ST STE B, BENSON, AZ 85602(520) 720-6551(520) 720-6552 Get Directions Write a Review

NPPES record last updated: August 23, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicklett R Johnston Np NPPES

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

NICKLETT R JOHNSTON NP (NPI 1356484596) is an individual family provider in Benson, Arizona, licensed in Texas (546098) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Richardson.

NPPES Registry Identity

NPI1356484596
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICKLETT R JOHNSTONCredential: NP
Location Address688 W 4TH ST STE BBenson, AZ 85602
Mailing Address688 W 4th St Ste BBenson, AZ 85602-6315 · (520) 720-6551 · Fax (520) 720-6552
Phone(520) 720-6551
Fax(520) 720-6552
Sole ProprietorNo
Enumeration DateFebruary 15, 2007
Last NPPES UpdateAugust 23, 2018
✔ NPI 1356484596 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 TX · 546098
688 W 4TH ST STE B, Benson, AZ 85602
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Secondary Practice Location 1

Location 13201 E President George Bush Hwy Ste 107Richardson, TX 75082-3565 · Phone (214) 691-2975 · Fax (214) 691-2967

Other Identifiers 3

Medicaid184626303TX
Medicaid184626301TX
Medicaid184626302TX

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicklett R Johnston Np 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 85602 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers25 claims46 services$6.86 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers22 claims22 services$17.79 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
4 suppliers28 claims31 services$6.22 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers22 claims22 services$91.90 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers27 claims27 services$185.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

BENSON HOSPITAL CORPORATION
Clinic/Center (Rural Health)
688 W 4TH ST STE B
BENSON, AZ 85602
Cochise County (520) 720-6512

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 Nicklett Johnston's NPI number?

The NPI number for Nicklett Johnston is 1356484596. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Where is Nicklett Johnston located?

Nicklett Johnston practices at 688 W 4th St Ste B, Benson, AZ 85602. The listed phone number is (520) 720-6551.

What is Nicklett Johnston's specialty?

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

Is Nicklett Johnston enrolled in Medicare?

Yes. Nicklett Johnston is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicklett Johnston was last updated on August 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.