MS. KIMESHIA NICOLE JOHNSON FNP-C
NPI 1699928655
Nurse Practitioner in Tyler, TX

Active since November 03, 2008PECOS EnrolledAccepts Medicare Assignment
5414 S BROADWAY AVE, TYLER, TX 75703(903) 581-1601(903) 581-1638 Get Directions Write a Review

NPPES record last updated: October 13, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Kimeshia Nicole Johnson Fnp-c NPPES

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

MS. KIMESHIA NICOLE JOHNSON FNP-C (NPI 1699928655) is an individual nurse practitioner in Tyler, Texas, licensed in Texas (679053) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Tyler Regional Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1699928655
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. KIMESHIA NICOLE JOHNSONCredential: FNP-C
Location Address5414 S BROADWAY AVETyler, TX 75703-1335
Mailing AddressPo Box 841656Dallas, TX 75284-1656 · (903) 531-5000
Fax(903) 581-1638
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateNovember 3, 2008
Last NPPES UpdateOctober 13, 2014
NPI 1699928655 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 TX · 679053
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 679053 (TX)
5414 S BROADWAY AVE, Tyler, TX 75703

Other Identifiers 12

OtherP01304442TX · Rail Road
Other75-0818167-022TX · Tricare
OtherP01246227TX · Rail Road
Medicaid323946901TX
Other0031BVTX · Bcbs Blue
Other00T71UTX · Bcbs Blue
Other75-2616977-028TX · Tricare
Medicaid323946902TX
Medicare PIN294214YMAFTX
Other75-2616977-002TX · Tricare
Medicare PIN294214YNSXTX
Other75-2616977-001TX · Tricare

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Kimeshia Nicole Johnson Fnp-c 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 ID840321576
PECOS Enrollment IDI20100624000578
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.

Areas of Expertise CMS Part B claims

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 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.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Ut Health East Texas Tyler Regional Hospital

Acute Care Hospitals · Tyler, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number450083
Location1000 South Beckham AveTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450102
Location800 East DawsonTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75703 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 19

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

Nurse Practitioner
5414 S BROADWAY AVE
TYLER, TX 75703
Emergency Medicine
5414 S BROADWAY AVE
TYLER, TX 75703
Family Medicine
5414 S BROADWAY AVE
TYLER, TX 75703
Physician Assistant
5414 S BROADWAY AVE
TYLER, TX 75703
Physician Assistant (Medical)
5414 S BROADWAY AVE
TYLER, TX 75703
Physician Assistant
5414 S BROADWAY AVE
TYLER, TX 75703
Emergency Medicine
5414 S BROADWAY AVE
TYLER, TX 75703
Nurse Practitioner (Family)
5414 S BROADWAY AVE
TYLER, TX 75703

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 Kimeshia Johnson's NPI number?

The NPI number for Kimeshia Johnson is 1699928655. It was assigned to this individual provider in the NPPES registry on November 3, 2008.

Where is Kimeshia Johnson located?

Kimeshia Johnson practices at 5414 S Broadway Ave, Tyler, TX 75703. The listed phone number is (903) 581-1601.

What is Kimeshia Johnson's specialty?

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

Is Kimeshia Johnson enrolled in Medicare?

Yes. Kimeshia 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.

What insurance does Kimeshia Johnson accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and UnitedHealthcare list Kimeshia 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 Kimeshia Johnson affiliated with any hospitals?

According to CMS data, Kimeshia Johnson is affiliated with Ut Health East Texas Tyler Regional Hospital and Christus Mother Frances Hospital.

When was this NPI record last updated?

The NPPES record for Kimeshia Johnson was last updated on October 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.