KELLY LAINE JOHNSON NP
NPI 1689984239
Nurse Practitioner in Stanford, CA

Active since October 18, 2010PECOS Enrolled
76.5/100
CMS Quality Rating
300 PASTEUR DR, STANFORD, CA 94305(650) 497-8000 Get Directions Write a Review

NPPES record last updated: March 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 10, 2023, May 25, 2018 (2 updates tracked since 2018).

About Kelly Laine Johnson Np NPPES

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

KELLY LAINE JOHNSON NP (NPI 1689984239) is an individual nurse practitioner in Stanford, California, licensed in California (19162) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Jose.

NPPES Registry Identity

NPI1689984239
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELLY LAINE JOHNSONCredential: NP
Location Address300 PASTEUR DRStanford, CA 94305-2200
Mailing Address300 Pasteur DrStanford, CA 94305-2200 · (650) 497-8000
Sole ProprietorYes
Enumeration DateOctober 18, 2010
Last NPPES UpdateMarch 10, 20232 updates tracked since enumeration
NPPES CertifiedMarch 10, 2023
NPI 1689984239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in CA · 19162
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 695748 (CA)
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 19162 (CA)
300 PASTEUR DR, Stanford, CA 94305

Secondary Practice Location 1

Location 1751 S. Bascom AveSan Jose, CA 95128 · Phone (408) 885-5000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kelly Laine Johnson Np 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 94305 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

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.

76.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.31
Promoting Interoperability100
Improvement Activities40
Cost43.95

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.

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers15 claims15 services$12.58 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 20

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

Emergency Medicine
300 PASTEUR DR, H3200, M/C 5230
PALO ALTO, CA 94305
Anesthesiology
300 PASTEUR DR
STANFORD, CA 94305
Obstetrics & Gynecology
300 PASTEUR DR
STANFORD, CA 94305
Obstetrics & Gynecology
300 PASTEUR DR
STANFORD, CA 94305
Nurse Practitioner
300 PASTEUR DR, SUMC - PEDS PHYSICIAN BILLING MC:5530
PALO ALTO, CA 94305
Anesthesiology
300 PASTEUR DR
STANFORD, CA 94305
Anesthesiology
300 PASTEUR DR
STANFORD, CA 94305
Anesthesiology
300 PASTEUR DR
STANFORD, CA 94305

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 Kelly Johnson's NPI number?

The NPI number for Kelly Johnson is 1689984239. It was assigned to this individual provider in the NPPES registry on October 18, 2010.

Where is Kelly Johnson located?

Kelly Johnson practices at 300 Pasteur Dr, Stanford, CA 94305. The listed phone number is (650) 497-8000.

What is Kelly Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kelly Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kelly Johnson was last updated on March 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.