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

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: November 01, 2026.

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, Cigna Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Kolu Johnson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Eventus Wh Southeast, LLC
7.1 mi
Geriatric Medicine
212 S TYRON ST STE 1000
Charlotte, NC 28281
  • Reassigned Medicare billing, North Carolina enrollment
  • 264 clinicians in this Medicare group
NPI 1487494811 (855) 743-2247
Eventus Wh PLLC Care, LLC
12 mi
Family Medicine
2810 COLISEUM CENTRE DR STE 120
Charlotte, NC 28217
  • Reassigned Medicare billing, North Carolina enrollment
  • 191 clinicians in this Medicare group
NPI 1639990658 (855) 743-2247
Eventus Wholehealth, PLLC
14 mi
Family Medicine
101 CABARRUS AVE E STE 200
Concord, NC 28025
  • Reassigned Medicare billing, North Carolina enrollment
  • 312 clinicians in this Medicare group
NPI 1548759392 (855) 743-2247
Mt Zion Medical And Nursing Services, PA
15 mi
Family
1130 SAM NEWELL RD STE B
Matthews, NC 28105
  • Reassigned Medicare billing, North Carolina enrollment
  • 5 clinicians in this Medicare group
NPI 1316160641 (704) 900-7761
Eventus Wh Southeast - South Carolina, LLC
85 mi
Nurse Practitioner
2 OFFICE PARK CT STE 103
Columbia, SC 29223
  • Reassigned Medicare billing, North Carolina enrollment
  • 193 clinicians in this Medicare group
NPI 1790503571 (855) 743-2247

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Kolu Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kolu Johnson reassigns Medicare benefits to 5 organizations: Eventus Wh Southeast, LLC (Charlotte, NC), Eventus Wh PLLC Care, LLC (Charlotte, NC), Eventus Wholehealth, PLLC (Concord, NC), Mt Zion Medical And Nursing Services, PA (Matthews, NC) and Eventus Wh Southeast - South Carolina, LLC (Columbia, SC). Each 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 Kolu Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kolu Johnson accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare 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.