TRACY MICHELLE JOHNSON P.A
NPI 1568820629
Physician Assistant - Medical in Lexington, KY

Q: What is Tracy Johnson's NPI number?

The NPI number for Tracy Johnson is 1568820629. It was assigned to this individual provider in the NPPES registry on February 4, 2016.

Q: What is Tracy Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Tracy Johnson was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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 February 04, 2016PECOS Enrolled

1221 S BROADWAY, LEXINGTON, KY 40504(859) 258-4000 Get Directions Write a Review

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

Record update history: Dec 8, 2023, Feb 4, 2016 (2 updates tracked since 2016).

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About Tracy Michelle Johnson P.a NPPES

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

TRACY MICHELLE JOHNSON P.A (NPI 1568820629) is an individual medical provider in Lexington, Kentucky, licensed in Kentucky (PA2076) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Williamsburg.

NPPES Registry Identity

NPI1568820629

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameTRACY MICHELLE JOHNSONCredential: P.A

Location Address1221 S BROADWAYLexington, KY 40504-2701

Mailing Address1221 S BroadwayLexington, KY 40504-2701 · (859) 258-6200 · Fax (859) 258-6203

Phone(859) 258-4000

Sole ProprietorNo

Enumeration DateFebruary 4, 2016

Last NPPES UpdateOctober 15, 20242 updates tracked since enumeration

NPPES CertifiedOctober 15, 2024

✔ NPI 1568820629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in KY · PA2076✔ Licensed in TN · 2927

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA2076 (KY)

1221 S BROADWAY, Lexington, KY 40504

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Secondary Practice Location 1

Location 1475 N Highway 25 W, Suite 100Williamsburg, KY 40769-1576 · Phone (606) 549-2930 ext. 107 · Fax (606) 549-3036

Other Identifiers 1

Medicaid7100431720KY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tracy Michelle Johnson P.a is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

27 services27 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

16 services16 patients

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier11 claims11 services$99.23 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier11 claims11 services$38.39 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

SHAILENDRA CHOPRA M.D.

Radiology (Body Imaging)