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KELLEY HOLT JOHNSON FNP
NPI 1629505813
Nurse Practitioner - Family in Fayetteville, NC

Active since May 18, 2017PECOS Enrolled
5335 YADKIN RD, FAYETTEVILLE, NC 28303(910) 826-7337(910) 826-7261 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, May 18, 2017 (2 updates tracked since 2017).

About Kelley Holt Johnson Fnp NPPES

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

KELLEY HOLT JOHNSON FNP (NPI 1629505813) is an individual family provider in Fayetteville, North Carolina, licensed in North Carolina (5009504) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Sanford.

NPPES Registry Identity

NPI1629505813
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLEY HOLT JOHNSONCredential: FNP
Location Address5335 YADKIN RDFayetteville, NC 28303-3254
Mailing Address5617 Ramsey StFayetteville, NC 28311-1423 · (910) 483-7337 · Fax (910) 483-0648
Phone(910) 826-7337
Fax(910) 826-7261
Sole ProprietorNo
Enumeration DateMay 18, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1629505813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NC · 5009504
5335 YADKIN RD, Fayetteville, NC 28303
Open in Google Maps ↗

Secondary Practice Location 1

Location 11688 S Horner BlvdSanford, NC 27330-5634 · Phone (919) 775-7337 · Fax (919) 775-1525

Accepted Insurance

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

Kelley Holt Johnson Fnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28303 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.

Referred Medical Equipment & Supplies CMS DME claims

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

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers13 claims13 services$17.42 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 3

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

KIDZCARE PEDIATRICS, PC
Pediatrics
5335 YADKIN RD
FAYETTEVILLE, NC 28303
Cumberland County (910) 826-7337
SANDRA NORMANN MD
Pediatrics
5335 YADKIN RD
FAYETTEVILLE, NC 28303
Cumberland County (910) 826-7337
RICHARD EDWARD HOPPER PA-C
Physician Assistant
5335 YADKIN RD
FAYETTEVILLE, NC 28303
Cumberland County (910) 826-7337

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 Kelley Johnson's NPI number?

The NPI number for Kelley Johnson is 1629505813. It was assigned to this individual provider in the NPPES registry on May 18, 2017.

Where is Kelley Johnson located?

Kelley Johnson practices at 5335 Yadkin Rd, Fayetteville, NC 28303. The listed phone number is (910) 826-7337.

What is Kelley Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelley Johnson enrolled in Medicare?

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

What insurance does Kelley Johnson accept?

Health plans from Blue Cross and Blue Shield of NC list Kelley 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 Kelley Johnson was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.