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KELBY JOHNSON FNP
NPI 1700424413
Nurse Practitioner in Haskell, TX

Active since December 12, 2019PECOS Enrolled
1417 N 1ST ST, HASKELL, TX 79521(940) 228-0612(940) 228-4161 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 12, 2025, Jul 18, 2023, Jul 7, 2023 and 1 more (4 updates tracked since 2019).

About Kelby Johnson Fnp NPPES

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

KELBY JOHNSON FNP (NPI 1700424413) is an individual nurse practitioner in Haskell, Texas, licensed in Texas (AP144346) and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Haskell.

NPPES Registry Identity

NPI1700424413
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameKELBY JOHNSONCredential: FNP
Location Address1417 N 1ST STHaskell, TX 79521-5435
Mailing Address1417 N 1st StHaskell, TX 79521-5435 · (940) 228-0612 · Fax (940) 228-4161
Phone(940) 228-0612
Fax(940) 228-4161
Sole ProprietorNo
Enumeration DateDecember 12, 2019
Last NPPES UpdateSeptember 12, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2025
✔ NPI 1700424413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · AP144346
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.

Secondary Practice Location 1

Location 11 Avenue NHaskell, TX 79521-5499 · Phone (940) 864-2621

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelby Johnson Fnp 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.

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
16 services15 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79521 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

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

AMY T PENNINGTON APRN FNP-C
Nurse Practitioner (Family)
1417 N 1ST ST
HASKELL, TX 79521
Haskell County (940) 228-0612

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 Kelby Johnson's NPI number?

The NPI number for Kelby Johnson is 1700424413. It was assigned to this individual provider in the NPPES registry on December 12, 2019.

Where is Kelby Johnson located?

Kelby Johnson practices at 1417 N 1st St, Haskell, TX 79521. The listed phone number is (940) 228-0612.

What is Kelby Johnson's specialty?

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

Is Kelby Johnson enrolled in Medicare?

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

What insurance does Kelby Johnson accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Kelby 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 Kelby Johnson was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.