KALI DEVELIN JOHNSON APRN
NPI 1467290619
Nurse Practitioner - Acute Care in Montgomery, OH
About Kali Develin Johnson Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KALI DEVELIN JOHNSON APRN (NPI 1467290619) is an individual acute care provider in Montgomery, Ohio, licensed in Ohio (APRN.CNP.0037059) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with Bethesda North, and maintains a secondary practice location in Montgomery.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 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
Kali Develin 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 Kali Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cincinnati, OH 45242
- Reassigned Medicare billing, Ohio enrollment
- 1,102 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.
Bethesda North
Acute Care Hospitals · Cincinnati, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45242 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Kali Johnson's NPI number?
The NPI number for Kali Johnson is 1467290619. It was assigned to this individual provider in the NPPES registry on July 19, 2024.
Where is Kali Johnson located?
Kali Johnson practices at 10506B Montgomery Rd Ste 304, Montgomery, OH 45242. The listed phone number is (513) 853-9000.
What is Kali Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Kali Johnson enrolled in Medicare?
Yes. Kali 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 Kali Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kali Johnson reassigns Medicare benefits to Trihealth H LLC (Cincinnati, OH). 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 Kali Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kali Johnson accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Kali 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 Kali Johnson affiliated with any hospitals?
According to CMS data, Kali Johnson is affiliated with Bethesda North.
When was this NPI record last updated?
The NPPES record for Kali Johnson was last updated on August 15, 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.
# Kali Develin Johnson, APRN · NPI 1467290619
Acute Care physician in Montgomery, Ohio. Individual provider, active in the CMS NPPES registry since July 19, 2024.
## Identity
- **NPI:** 1467290619 (Entity type: Individual)
- **Enumerated:** July 19, 2024
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** APRN.CNP.0037059 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 10506B MONTGOMERY RD, STE 304, Montgomery, OH 45242-4400
- **Phone:** (513) 853-9000 · **Fax:** (513) 624-2964
## 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:** Trihealth H LLC (NPI 1548695638, Cincinnati, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** August 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1467290619) · Data from the CMS NPPES public registry.