KEVIN JOHANSEN MD
NPI 1487235305
Family Medicine in Truckee, CA

Q: What is Kevin Johansen's NPI number?

The NPI number for Kevin Johansen is 1487235305. It was assigned to this individual provider in the NPPES registry on April 21, 2021.

Q: What is Kevin Johansen'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 Kevin Johansen was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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 21, 2021PECOS EnrolledAccepts Medicare Assignment

10121 PINE AVE, TRUCKEE, CA 96161(775) 284-9155 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 3, 2024, Oct 8, 2024, Feb 10, 2023 and 1 more (4 updates tracked since 2021).

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About Kevin Johansen Md NPPES

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

KEVIN JOHANSEN MD (NPI 1487235305) is an individual family medicine provider in Truckee, California, licensed in California (200188) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Incline Village Community Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1487235305

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameKEVIN JOHANSENCredential: MD

Location Address10121 PINE AVETruckee, CA 96161-4856

Mailing Address10121 Pine AveTruckee, CA 96161-4835

Phone(775) 284-9155

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 21, 2021

Last NPPES UpdateDecember 3, 20244 updates tracked since enumeration

NPPES CertifiedDecember 3, 2024

✔ NPI 1487235305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · 200188

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.

10121 PINE AVE, Truckee, CA 96161

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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 and accepts Medicare assignment

Kevin Johansen 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 ID3173990116

PECOS Enrollment IDI20241217003249

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.

Incline Village Community Hospital

Critical Access Hospitals · Incline Village, NV

OwnershipGovernment - Hospital District or Authority

CMS Certification Number291301

Location880 Alder StreetIncline Village, NV 89451 · Washoe County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96161 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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 20

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

DR. GIPANJOT DHILLON MD

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