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TONYA CAUDILL JOHNSON FNP-BC
NPI 1699412585
Nurse Practitioner in Elkin, NC

Active since May 12, 2022PECOS EnrolledAccepts Medicare Assignment
401 ELDON PARKS DR, ELKIN, NC 28621(336) 835-9589 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 6, 2024, Mar 1, 2023, May 12, 2022 (3 updates tracked since 2022).

About Tonya Caudill Johnson Fnp-bc NPPES

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

TONYA CAUDILL JOHNSON FNP-BC (NPI 1699412585) is an individual nurse practitioner in Elkin, North Carolina, licensed in North Carolina (5016195) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, is affiliated with North Carolina Baptist Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1699412585
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTONYA CAUDILL JOHNSONCredential: FNP-BC
Location Address401 ELDON PARKS DRElkin, NC 28621-2462
Mailing AddressMedical Center BlvdWinston Salem, NC 27157-0001 · (336) 835-9589 · Fax (336) 835-4765
Phone(336) 835-9589
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 12, 2022
Last NPPES UpdateMay 6, 20243 updates tracked since enumeration
NPPES CertifiedMay 6, 2024
✔ NPI 1699412585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 5016195
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 ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 5016195 (NC)
401 ELDON PARKS DR, Elkin, NC 28621
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and more.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

Tonya Caudill Johnson Fnp-bc 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.

PECOS PAC ID2668851304
PECOS Enrollment IDI20220627000933
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 Reassignments

4

Medicare enrollment records show Tonya Johnson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

High Country Community Health
0.7 mi
Federally Qualified Health Center (FQHC)
110 DUTCHMAN CT
Elkin, NC 28621
  • Reassigned Medicare billing, North Carolina enrollment
  • 16 clinicians in this Medicare group
NPI 1336606938 (336) 835-7337
Wake Forest University Health Sciences
34 mi
Multi-Specialty
MEDICAL CENTER BLVD
Winston Salem, NC 27157
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,003 clinicians in this Medicare group
NPI 1003803032 (336) 716-2255
Fast Pace Kentucky PLLC
88 mi
Urgent Care
1635 COLLEGE AVE
Spindale, NC 28160
  • Reassigned Medicare billing, North Carolina enrollment
  • 61 clinicians in this Medicare group
NPI 1609634633 (828) 330-9190
Upperline Healthcare, PC
392 mi
Foot & Ankle Surgery
2116 CHAPEL HILL RD
Hoover, AL 35216
  • Reassigned Medicare billing, North Carolina enrollment
  • 62 clinicians in this Medicare group
NPI 1538686498 (407) 219-5402

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
79 services69 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
48 services24 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
41 services41 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
25 services25 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
14 services14 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340047
LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28621 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.

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 Tonya Johnson's NPI number?

The NPI number for Tonya Johnson is 1699412585. It was assigned to this individual provider in the NPPES registry on May 12, 2022.

Where is Tonya Johnson located?

Tonya Johnson practices at 401 Eldon Parks Dr, Elkin, NC 28621. The listed phone number is (336) 835-9589.

What is Tonya Johnson's specialty?

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

Is Tonya Johnson enrolled in Medicare?

Yes. Tonya 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 Tonya Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tonya Johnson reassigns Medicare benefits to 4 organizations: High Country Community Health (Elkin, NC), Wake Forest University Health Sciences (Winston Salem, NC), Fast Pace Kentucky PLLC (Spindale, NC) and Upperline Healthcare, PC (Hoover, AL). 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 Tonya Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tonya Johnson accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, Oscar Health Plan, Inc. and UnitedHealthcare list Tonya 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.

Is Tonya Johnson affiliated with any hospitals?

According to CMS data, Tonya Johnson is affiliated with North Carolina Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Tonya Johnson was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.