BROOKLYN JOHNSON APRN
NPI 1639833692
Nurse Practitioner - Pediatrics in Lexington, KY
About Brooklyn Johnson Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BROOKLYN JOHNSON APRN (NPI 1639833692) is an individual pediatrics provider in Lexington, Kentucky, licensed in Kentucky (3016076) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Nicholasville.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brooklyn Johnson Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Brooklyn Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lexington, KY 40536
- Reassigned Medicare billing, Kentucky enrollment
- 1,761 clinicians in this Medicare group
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 40536 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LEXINGTON, KY 40536
LEXINGTON, KY 40536
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 Brooklyn Johnson's NPI number?
The NPI number for Brooklyn Johnson is 1639833692. It was assigned to this individual provider in the NPPES registry on October 26, 2021.
Where is Brooklyn Johnson located?
Brooklyn Johnson practices at 800 Rose St, Lexington, KY 40536. The listed phone number is (859) 562-1085.
What is Brooklyn Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Brooklyn Johnson enrolled in Medicare?
Yes. Brooklyn Johnson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Brooklyn Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brooklyn Johnson reassigns Medicare benefits to University Of Kentucky (Lexington, KY). The 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 Brooklyn Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Brooklyn Johnson was last updated on January 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Brooklyn Johnson, APRN · NPI 1639833692
Pediatrics physician in Lexington, Kentucky. Individual provider, active in the CMS NPPES registry since October 26, 2021.
## Identity
- **NPI:** 1639833692 (Entity type: Individual)
- **Enumerated:** October 26, 2021
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 3016076 (Kentucky)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 800 ROSE ST, Lexington, KY 40536-2751
- **Phone:** (859) 562-1085 · **Fax:** (859) 257-5152
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Kentucky (NPI 1518911338, Lexington, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 24, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1639833692) · Data from the CMS NPPES public registry.