KOLU LEELEE JOHNSON
NPI 1619714466
Nurse Practitioner - Primary Care in Charlotte, NC

Q: What is Kolu Johnson's NPI number?

The NPI number for Kolu Johnson is 1619714466. It was assigned to this individual provider in the NPPES registry on July 10, 2024.

Q: What is Kolu Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Kolu Johnson was last updated on July 10, 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.

Active since July 10, 2024PECOS Enrolled

6608 E W T HARRIS BLVD, CHARLOTTE, NC 28215(704) 900-7761(833) 948-3597 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Kolu Leelee Johnson NPPES

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

KOLU LEELEE JOHNSON (NPI 1619714466) is an individual primary care provider in Charlotte, North Carolina, licensed in North Carolina (2024001913) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1619714466

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameKOLU LEELEE JOHNSON

Location Address6608 E W T HARRIS BLVDCharlotte, NC 28215-5127

Mailing Address10702 Ridge Acres RdCharlotte, NC 28214-8204 · (704) 281-7130

Phone(704) 900-7761

Fax(833) 948-3597

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJuly 10, 2024

NPPES CertifiedJuly 10, 2024

✔ NPI 1619714466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in NC · 2024001913

6608 E W T HARRIS BLVD, Charlotte, NC 28215

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kolu Leelee Johnson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971032665

PECOS Enrollment IDI20250124002152

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28215 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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 Kolu Johnson's NPI number?

The NPI number for Kolu Johnson is 1619714466. It was assigned to this individual provider in the NPPES registry on July 10, 2024.

Where is Kolu Johnson located?

Kolu Johnson practices at 6608 E W T Harris Blvd, Charlotte, NC 28215. The listed phone number is (704) 900-7761.

What is Kolu Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Kolu Johnson enrolled in Medicare?

Yes. Kolu Johnson is registered in the Medicare PECOS enrollment system.

What insurance does Kolu Johnson accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Kolu 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.

When was this NPI record last updated?

The NPPES record for Kolu Johnson was last updated on July 10, 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.