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KYLE ALLEN JOHNSON NURSE PRACTITIONER
NPI 1649991944
Nurse Practitioner - Psychiatric/Mental Health in Rocky Mount, VA

Active since September 06, 2022PECOS Enrolled
30 TECHNOLOGY DR, ROCKY MOUNT, VA 24151(540) 483-0582 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kyle Allen Johnson Nurse Practitioner NPPES

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

KYLE ALLEN JOHNSON NURSE PRACTITIONER (NPI 1649991944) is an individual psychiatric/mental health provider in Rocky Mount, Virginia, licensed in Virginia (0024185091) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649991944
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameKYLE ALLEN JOHNSONCredential: NURSE PRACTITIONER
Location Address30 TECHNOLOGY DRRocky Mount, VA 24151-3008
Mailing Address30 Technology DrRocky Mount, VA 24151-3008 · (540) 483-0582
Phone(540) 483-0582
Sole ProprietorNo
Enumeration DateSeptember 6, 2022
NPPES CertifiedSeptember 6, 2022
✔ NPI 1649991944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in VA · 0024185091
30 TECHNOLOGY DR, Rocky Mount, VA 24151
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyle Allen Johnson Nurse Practitioner 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.

Medicare Billing Reassignment

Medicare enrollment records show Kyle Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Piedmont Regional Community Services Board
22 mi
Community/Behavioral Health
24 CLAY ST
Martinsville, VA 24112
  • Reassigned Medicare billing, Virginia enrollment
  • 63 clinicians in this Medicare group
NPI 1699754010 (276) 632-7128

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 24151 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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.

LISA TALBOT LONG LCSW
Social Worker (Clinical)
30 TECHNOLOGY DR
ROCKY MOUNT, VA 24151
Franklin County (540) 483-5044
TERRI C CREWS LCSW
Social Worker (Clinical)
30 TECHNOLOGY DR
ROCKY MOUNT, VA 24151
Franklin County (540) 483-5044
KATELYN SHOWALTER LCSW
Social Worker (Clinical)
30 TECHNOLOGY DR
ROCKY MOUNT, VA 24151
Franklin County (540) 483-0582
LESLIE FIREBAUGH LPC
Counselor (Professional)
30 TECHNOLOGY DR
ROCKY MOUNT, VA 24151
Franklin County (540) 483-5044
CHARLOTTE PERDUE LCSW
Social Worker (Clinical)
30 TECHNOLOGY DR
ROCKY MOUNT, VA 24151
Franklin County (540) 483-5044
EMILY J GRANTHAM LCSW
Social Worker (Clinical)
30 TECHNOLOGY DR
ROCKY MOUNT, VA 24151
Franklin County (276) 632-7128
RENAE HALL
Counselor (Professional)
30 TECHNOLOGY DR
ROCKY MOUNT, VA 24151
Franklin County (540) 483-0582
ANGEL BOUSMAN
Social Worker (Clinical)
30 TECHNOLOGY DR
ROCKY MOUNT, VA 24151
Franklin County (540) 483-5044

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 Kyle Johnson's NPI number?

The NPI number for Kyle Johnson is 1649991944. It was assigned to this individual provider in the NPPES registry on September 6, 2022.

Where is Kyle Johnson located?

Kyle Johnson practices at 30 Technology Dr, Rocky Mount, VA 24151. The listed phone number is (540) 483-0582.

What is Kyle Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kyle Johnson enrolled in Medicare?

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

Which organization bills Medicare for Kyle Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Johnson reassigns Medicare benefits to Piedmont Regional Community Services Board (Martinsville, VA). 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 Kyle 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 Kyle Johnson was last updated on September 6, 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.