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KALI DEVELIN JOHNSON APRN
NPI 1467290619
Nurse Practitioner - Acute Care in Montgomery, OH

Active since July 19, 2024PECOS EnrolledAccepts Medicare Assignment
10506B MONTGOMERY RD, STE 304, MONTGOMERY, OH 45242(513) 853-9000(513) 624-2964 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2024, Jul 19, 2024 (2 updates tracked since 2024).

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

NPI1467290619
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKALI DEVELIN JOHNSONCredential: APRN
Location Address10506B MONTGOMERY RD, STE 304Montgomery, OH 45242-4400
Mailing Address10506b Montgomery Rd, Ste 304Montgomery, OH 45242-4400 · (513) 853-9000 · Fax (513) 624-2964
Phone(513) 853-9000
Fax(513) 624-2964
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 19, 2024
Last NPPES UpdateAugust 15, 20242 updates tracked since enumeration
NPPES CertifiedAugust 15, 2024
✔ NPI 1467290619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in OH · APRN.CNP.0037059
10506B MONTGOMERY RD, Montgomery, OH 45242
Open in Google Maps ↗

Secondary Practice Location 1

Location 110500 Montgomery RdMontgomery, OH 45242-4402 · Phone (513) 865-1582 · Fax (513) 865-1405

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Oscar Health Insurance.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

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.

PECOS PAC ID8123567013
PECOS Enrollment IDI20240822004126
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

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

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Physician 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.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

What insurance does Kali Johnson accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Oscar Health Insurance 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 23 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.