DOMINIQUE JOHNSON FNP
NPI 1366280711
Nurse Practitioner in Killeen, TX

Q: What is Dominique Johnson's NPI number?

The NPI number for Dominique Johnson is 1366280711. It was assigned to this individual provider in the NPPES registry on July 18, 2024.

Q: What is Dominique Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Dominique Johnson was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 18, 2024PECOS EnrolledAccepts Medicare Assignment

2201 CLEAR CREEK RD, KILLEEN, TX 76549(254) 519-8103 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 1, 2024, Jul 18, 2024 (2 updates tracked since 2024).

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About Dominique Johnson Fnp NPPES

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

DOMINIQUE JOHNSON FNP (NPI 1366280711) is an individual nurse practitioner in Killeen, Texas, licensed in Texas (1157929) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Central Texas, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1366280711

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameDOMINIQUE JOHNSONCredential: FNP

Location Address2201 CLEAR CREEK RDKilleen, TX 76549-4110

Mailing Address2201 Clear Creek RdKilleen, TX 76549-4110

Phone(254) 519-8103

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 18, 2024

Last NPPES UpdateAugust 1, 20242 updates tracked since enumeration

NPPES CertifiedAugust 1, 2024

✔ NPI 1366280711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TX · 1157929

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 1157929 (TX)

2201 CLEAR CREEK RD, Killeen, TX 76549

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Dominique Johnson Fnp 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 ID2264979889

PECOS Enrollment IDI20240731004618

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.

Hospital Affiliations CMS Care Compare

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

Adventhealth Central Texas

Acute Care Hospitals · Killeen, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450152

Location2201 S Clear Creek RoadKilleen, TX 76542 · Bell County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76549 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 20

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

METROPLEX ADVENTIST HOSPITAL INC

Clinical Medical Laboratory