MRS. CAROLYN S JOHNSON FNP
NPI 1669975587
Registered Nurse - Hospice in Indianola, MS
About Mrs. Carolyn S Johnson Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. CAROLYN S JOHNSON FNP (NPI 1669975587) is an individual hospice provider in Indianola, Mississippi, licensed in Mississippi (R800714) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Carolyn S Johnson Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Carolyn Johnson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Greenwood, MS 38930
- Reassigned Medicare billing, Mississippi enrollment
- 11 clinicians in this Medicare group
Vicksburg, MS 39180
- Reassigned Medicare billing, Mississippi enrollment
- 180 clinicians in this Medicare group
Nashville, TN 37219
- Reassigned Medicare billing, Kentucky and Mississippi enrollments
- 118 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.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Carolyn Johnson's NPI number?
The NPI number for Carolyn Johnson is 1669975587. It was assigned to this individual provider in the NPPES registry on March 16, 2018. The provider is also known as Mrs. Carolyn S Johnson Fnp.
Where is Carolyn Johnson located?
Carolyn Johnson practices at 1027 French Rd, Indianola, MS 38751. The listed phone number is (662) 466-0330.
What is Carolyn Johnson's specialty?
The primary specialty registered for this NPI is Registered Nurse, specializing in Hospice, with taxonomy code 163WH1000X.
Is Carolyn Johnson enrolled in Medicare?
Yes. Carolyn Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Carolyn Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Johnson reassigns Medicare benefits to 3 organizations: Region Vi Community Mental Health Commission (Greenwood, MS), Mdb Behavioral Health Services LLC (Vicksburg, MS) and Community Care Health Network LLC (Nashville, TN). 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 Carolyn Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carolyn Johnson accept?
Health plans from Cigna Healthcare and UnitedHealthcare list Carolyn 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 Carolyn Johnson was last updated on March 16, 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.
# Mrs. Carolyn S Johnson, FNP · NPI 1669975587
Hospice provider in Indianola, Mississippi. Individual provider, active in the CMS NPPES registry since March 16, 2018.
## Identity
- **NPI:** 1669975587 (Entity type: Individual)
- **Enumerated:** March 16, 2018
- **Primary specialty:** Registered Nurse - Hospice · taxonomy 163WH1000X
- **State license:** R800714 (Mississippi)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1027 FRENCH RD, Indianola, MS 38751-9605
- **Phone:** (662) 466-0330 · **Fax:** (662) 756-0931
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Region Vi Community Mental Health Commission (NPI 1154433233, Greenwood, MS); Mdb Behavioral Health Services LLC (NPI 1669835310, Vicksburg, MS); Community Care Health Network LLC (NPI 1619368842, Nashville, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** March 16, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1669975587) · Data from the CMS NPPES public registry.