NICOLE RAEANN JOHNSTON MD
NPI 1457092280
Family Medicine in Guttenberg, IA

Q: What is Nicole Johnston's NPI number?

The NPI number for Nicole Johnston is 1457092280. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Q: What is Nicole Johnston's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Johnston was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since April 05, 2022PECOS EnrolledAccepts Medicare Assignment

200 MAIN ST, GUTTENBERG, IA 52052(563) 252-1121(563) 252-5547 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Nicole Raeann Johnston Md NPPES

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

NICOLE RAEANN JOHNSTON MD (NPI 1457092280) is an individual family medicine provider in Guttenberg, Iowa, licensed in Iowa (MD-55495) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Guttenberg Municipal Hospital, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2022).

NPPES Registry Identity

NPI1457092280

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameNICOLE RAEANN JOHNSTONCredential: MD

Location Address200 MAIN STGuttenberg, IA 52052-9108

Mailing Address200 Main StGuttenberg, IA 52052-9108 · (563) 252-1121 · Fax (563) 252-5547

Phone(563) 252-1121

Fax(563) 252-5547

Sole ProprietorNo

Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2022

Enumeration DateApril 5, 2022

Last NPPES UpdateSeptember 23, 2025

NPPES CertifiedSeptember 23, 2025

✔ NPI 1457092280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IA · MD-55495

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

200 MAIN ST, Guttenberg, IA 52052

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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

Nicole Raeann Johnston 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.

PECOS PAC ID8022491927

PECOS Enrollment IDI20251022003567

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 2

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

Guttenberg Municipal Hospital

Critical Access Hospitals · Guttenberg, IA

OwnershipGovernment - Local

CMS Certification Number161312

Location200 Main StreetGuttenberg, IA 52052 · Clayton County

Emergency services

Mercyone Elkader Medical Center

Critical Access Hospitals · Elkader, IA

OwnershipVoluntary non-profit - Private

CMS Certification Number161319

Location901 Davidson Street NWElkader, IA 52043 · Clayton County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52052 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $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 18

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

SHELLY JO KLEIN DNP

Nurse Practitioner (Family)