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KESILA JOHNSON
NPI 1366023863
Nurse Practitioner - Family in Tyler, TX

Active since April 16, 2021PECOS Enrolled
501 SAUNDERS AVE STE 300, TYLER, TX 75702(903) 592-9800(903) 592-5988 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kesila Johnson NPPES

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

KESILA JOHNSON (NPI 1366023863) is an individual family provider in Tyler, Texas, licensed in Texas (1180522) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366023863
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKESILA JOHNSON
Location Address501 SAUNDERS AVE STE 300Tyler, TX 75702-7524
Mailing AddressPo Box 911230Dallas, TX 75391-1230 · (972) 997-8000 · Fax (972) 234-2981
Phone(903) 592-9800
Fax(903) 592-5988
Sole ProprietorNo
Enumeration DateApril 16, 2021
Last NPPES UpdateFebruary 13, 2026
NPPES CertifiedFebruary 13, 2026
✔ NPI 1366023863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 1180522
Also ListedRegistered NurseTaxonomy 163W00000X · License 895764 (TX)
501 SAUNDERS AVE STE 300, Tyler, TX 75702
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kesila Johnson 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 75702 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 3

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

SARAH YUE WANG M.D.
Internal Medicine (Hematology & Oncology)
501 SAUNDERS AVE STE 300
TYLER, TX 75702
Smith County (903) 579-9800
KAITLYN SUZANNE GOSS APRN, FNP-C
Nurse Practitioner (Family)
501 SAUNDERS AVE STE 300
TYLER, TX 75702
Smith County (903) 579-9800
MRS. TAMEKA TRENDA MARTIN FNP-C, AGACNP-BC
Nurse Practitioner (Acute Care)
501 SAUNDERS AVE STE 300
TYLER, TX 75702
Smith County (903) 579-9800

Frequently Asked Questions

What is Kesila Johnson's NPI number?

The NPI number assigned to this healthcare provider is 1366023863, enumerated as an "individual" on April 16, 2021.

Where is the provider located?

The provider is located at 501 SAUNDERS AVE STE 300 TYLER, TX 75702 and the phone number is (903) 592-9800.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.