KELBY JOHNSON FNP
NPI 1700424413
Nurse Practitioner in Haskell, TX

Q: 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.

Q: What is Kelby Johnson's specialty?

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

Q: 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 13 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.

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: November 01, 2026.

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

On this page

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 Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 (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.

Medicare Billing Reassignments

Medicare enrollment records show Kelby Johnson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Haskell County Hospital

Critical Access

1 AVENUE N
Haskell, TX 79521

Reassigned Medicare billing, Texas enrollment
2 clinicians in this Medicare group

NPI 1184607897 (940) 864-2621

Mccamey County Hospital District

Family Medicine

2500 S HWY 305
Mccamey, TX 79752

Reassigned Medicare billing, Texas enrollment
17 clinicians in this Medicare group

NPI 1689899072 (432) 652-8626

Moore County Hospital District

Rural Health

110 S BLISS AVE
Dumas, TX 79029

Reassigned Medicare billing, Texas enrollment
92 clinicians in this Medicare group

NPI 1336537661 (806) 935-1900

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 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 2

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

DR. JOHNNIE REBBECCA HARRIS PHD, MSN/MHA, RN

Nurse Practitioner (Family)

1417 N 1ST ST
HASKELL, TX 79521

Haskell County (940) 228-0612

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.

Which organizations bill Medicare for Kelby Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelby Johnson reassigns Medicare benefits to 3 organizations: Haskell County Hospital (Haskell, TX), Mccamey County Hospital District (Mccamey, TX) and Moore County Hospital District (Dumas, TX). 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 Kelby Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelby Johnson accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers 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 13 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.