TYLA ALIECE JOHNSON FNP-C
NPI 1457842213
Nurse Practitioner - Family in Bridgeton, MO
About Tyla Aliece Johnson Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYLA ALIECE JOHNSON FNP-C (NPI 1457842213) is an individual family provider in Bridgeton, Missouri, licensed in Missouri (2018004082) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Ssm Health Depaul Hospital St Louis, and is a graduate of Other.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Tyla Aliece Johnson Fnp-c 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 Reassignments
2Medicare enrollment records show Tyla Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bridgeton, MO 63044
- Reassigned Medicare billing, Missouri enrollment
- 741 clinicians in this Medicare group
Fenton, MO 63026
- Reassigned Medicare billing, Missouri enrollment
- 697 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.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ssm Health Depaul Hospital St Louis
Acute Care Hospitals · Bridgeton, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63044 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tyla Johnson's NPI number?
The NPI number for Tyla Johnson is 1457842213. It was assigned to this individual provider in the NPPES registry on May 28, 2018. The provider is also known as Tyla Aliece Stewart.
Where is Tyla Johnson located?
Tyla Johnson practices at 12255 De Paul Dr Ste 600, Bridgeton, MO 63044. The listed phone number is (314) 209-5100.
What is Tyla Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tyla Johnson enrolled in Medicare?
Yes. Tyla 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 organizations bill Medicare for Tyla Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyla Johnson reassigns Medicare benefits to 2 organizations: Ssm Health Care St. Louis (Bridgeton, MO) and Ssm Medical Group, Inc. (Fenton, MO). Each 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 Tyla Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tyla Johnson accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Ambetter of Tennessee and 1 other insurer list Tyla 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 Tyla Johnson affiliated with any hospitals?
According to CMS data, Tyla Johnson is affiliated with Ssm Health Depaul Hospital St Louis.
When was this NPI record last updated?
The NPPES record for Tyla Johnson was last updated on October 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Tyla Aliece Johnson, FNP-C · NPI 1457842213
Family physician in Bridgeton, Missouri. Individual provider, active in the CMS NPPES registry since May 28, 2018.
## Identity
- **NPI:** 1457842213 (Entity type: Individual)
- **Enumerated:** May 28, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2018004082 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 12255 DE PAUL DR STE 600, Bridgeton, MO 63044-2515
- **Phone:** (314) 209-5100
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Ssm Health Care St. Louis (NPI 1376598599, Bridgeton, MO); Ssm Medical Group, Inc. (NPI 1700966207, Fenton, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other
## Record status
- **NPPES last updated:** October 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1457842213) · Data from the CMS NPPES public registry.