KELLIE NICOLE JOHNSON APRN
NPI 1396975553
Nurse Practitioner - Adult Health in Lincoln, NE
About Kellie Nicole Johnson Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLIE NICOLE JOHNSON APRN (NPI 1396975553) is an individual adult health provider in Lincoln, Nebraska, licensed in Nebraska (111063) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with Bryan Medical Center, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 5
Accepted Insurance
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
Kellie Nicole 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.
Medicare Billing Reassignment
Medicare enrollment records show Kellie Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lincoln, NE 68506
- Reassigned Medicare billing, Nebraska enrollment
- 67 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.
Bryan Medical Center
Acute Care Hospitals · Lincoln, NEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 68506 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
LINCOLN, NE 68506
LINCOLN, NE 68506
LINCOLN, NE 68506
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 Kellie Johnson's NPI number?
The NPI number for Kellie Johnson is 1396975553. It was assigned to this individual provider in the NPPES registry on July 22, 2009.
Where is Kellie Johnson located?
Kellie Johnson practices at 1600 S 48th St Suite 600, Lincoln, NE 68506. The listed phone number is (402) 483-3333.
What is Kellie Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Kellie Johnson enrolled in Medicare?
Yes. Kellie 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 organization bills Medicare for Kellie Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kellie Johnson reassigns Medicare benefits to Integrated Cardiology Group LLC (Lincoln, NE). The 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 Kellie Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kellie Johnson accept?
Health plans from Blue Cross and Blue Shield of Nebraska and Oscar Insurance Company list Kellie Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Kellie Johnson affiliated with any hospitals?
According to CMS data, Kellie Johnson is affiliated with Bryan Medical Center.
When was this NPI record last updated?
The NPPES record for Kellie Johnson was last updated on November 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Kellie Nicole Johnson, APRN · NPI 1396975553
Adult Health physician in Lincoln, Nebraska. Individual provider, active in the CMS NPPES registry since July 22, 2009.
## Identity
- **NPI:** 1396975553 (Entity type: Individual)
- **Enumerated:** July 22, 2009
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 111063 (Nebraska)
- **Sole proprietor:** No
## Practice location
- **Address:** 1600 S 48TH ST, SUITE 600, Lincoln, NE 68506-1283
- **Phone:** (402) 483-3333 · **Fax:** (402) 483-3297
## 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:** Integrated Cardiology Group LLC (NPI 1982653515, Lincoln, NE), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** November 14, 2011
- **Other identifiers:** Medicaid 47084496100 (NE); Medicare PIN 099106003 (NE); Other 63153 (NE); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1396975553) · Data from the CMS NPPES public registry.