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MR. ROBERT JOHNSON NP
NPI 1417467010
Nurse Practitioner - Adult Health in Somerset, KY

Active since October 09, 2017PECOS Enrolled
104 HARDIN LN STE A, SOMERSET, KY 42503(606) 678-8323(606) 678-0496 Get Directions Write a Review

NPPES record last updated: July 21, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2020, Aug 2, 2018, Jul 19, 2018 and 1 more (4 updates tracked since 2017).

About Mr. Robert Johnson Np NPPES

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

MR. ROBERT JOHNSON NP (NPI 1417467010) is an individual adult health provider in Somerset, Kentucky, licensed in Kentucky (3011600) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417467010
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMR. ROBERT JOHNSONCredential: NP
Location Address104 HARDIN LN STE ASomerset, KY 42503
Mailing Address104 Hardin Ln Ste ASomerset, KY 42503-3800 · (606) 678-8323 · Fax (606) 451-0963
Phone(606) 678-8323
Fax(606) 678-0496
Sole ProprietorNo
Enumeration DateOctober 9, 2017
Last NPPES UpdateJuly 21, 20204 updates tracked since enumeration
NPPES CertifiedJuly 21, 2020
✔ NPI 1417467010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in KY · 3011600
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 3011600 (KY)
104 HARDIN LN STE A, Somerset, KY 42503
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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)

Mr. Robert Johnson 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 42503 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 2

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

DR. HAROLD HELTON JR. M.D.
Internal Medicine (Nephrology)
104 HARDIN LN STE A
SOMERSET, KY 42503
Pulaski County (606) 678-2063
MATTHEW SHEA DO
Internal Medicine (Nephrology)
104 HARDIN LN STE A
SOMERSET, KY 42503
Pulaski County (606) 678-2063

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 Robert Johnson's NPI number?

The NPI number for Robert Johnson is 1417467010. It was assigned to this individual provider in the NPPES registry on October 9, 2017.

Where is Robert Johnson located?

Robert Johnson practices at 104 Hardin Ln Ste A, Somerset, KY 42503. The listed phone number is (606) 678-8323.

What is Robert Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Robert Johnson enrolled in Medicare?

Yes. Robert Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Robert Johnson was last updated on July 21, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.