HOLLY RENEE JOHNSON MD
NPI 1356963623
Surgery in Jamestown, NY
About Holly Renee Johnson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLLY RENEE JOHNSON MD (NPI 1356963623) is an individual surgery provider in Jamestown, New York, licensed in New York (327549) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Kaleida Health, and is a graduate of State University Of New York At Buffalo School Of Medicine (2020).
NPPES Registry Identity
Specialties & Licenses
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
Holly Renee Johnson Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Holly Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jamestown, NY 14701
- Reassigned Medicare billing, New York enrollment
- 233 clinicians in this Medicare group
Buffalo, NY 14215
- Reassigned Medicare billing, New York enrollment
- 59 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Kaleida Health
Acute Care Hospitals · Buffalo, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
JAMESTOWN, NY 14701
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 Holly Johnson's NPI number?
The NPI number for Holly Johnson is 1356963623. It was assigned to this individual provider in the NPPES registry on May 10, 2020.
Where is Holly Johnson located?
Holly Johnson practices at 15 S Main St, Jamestown, NY 14701. The listed phone number is (716) 483-1183.
What is Holly Johnson's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Holly Johnson enrolled in Medicare?
Yes. Holly 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 Holly Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Holly Johnson reassigns Medicare benefits to 2 organizations: Great Lakes Physician Practice PC (Jamestown, NY) and University At Buffalo Surgeons Inc (Buffalo, NY). 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 Holly Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Holly Johnson affiliated with any hospitals?
According to CMS data, Holly Johnson is affiliated with Kaleida Health.
When was this NPI record last updated?
The NPPES record for Holly Johnson was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Holly Renee Johnson, MD · NPI 1356963623
Surgery physician in Jamestown, New York. Individual provider, active in the CMS NPPES registry since May 10, 2020.
## Identity
- **NPI:** 1356963623 (Entity type: Individual)
- **Enumerated:** May 10, 2020
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 327549 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 15 S MAIN ST, Jamestown, NY 14701-6626
- **Phone:** (716) 483-1183 · **Fax:** (716) 664-4903
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Great Lakes Physician Practice PC (NPI 1730599176, Jamestown, NY); University At Buffalo Surgeons Inc (NPI 1508898305, Buffalo, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York At Buffalo School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** July 27, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1356963623) · Data from the CMS NPPES public registry.