NEKESHA MICOLE JOHNSON FNP-BC
NPI 1710648050
Nurse Practitioner - Family in Grenada, MS
About Nekesha Micole Johnson Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NEKESHA MICOLE JOHNSON FNP-BC (NPI 1710648050) is an individual family provider in Grenada, Mississippi, licensed in Mississippi (905012) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nekesha Micole Johnson Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Nekesha Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grenada, MS 38901
- Reassigned Medicare billing, Mississippi enrollment
- Also billed through NPI 1932538527 (Mississippi)
- 9 clinicians in this Medicare group
Ripley, MS 38663
- Reassigned Medicare billing, Mississippi enrollment
- 463 clinicians in this Medicare group
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 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Nekesha Johnson's NPI number?
The NPI number for Nekesha Johnson is 1710648050. It was assigned to this individual provider in the NPPES registry on January 8, 2022.
Where is Nekesha Johnson located?
Nekesha Johnson practices at 960 J K Avent Drive, Grenada, MS 38901. The listed phone number is (662) 227-7375.
What is Nekesha Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nekesha Johnson enrolled in Medicare?
Yes. Nekesha Johnson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Nekesha Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nekesha Johnson reassigns Medicare benefits to 2 organizations: State Of Mississippi-University Of Mississippi Medical Center (Grenada, MS) and Fast Pace Mississippi, PLLC (Ripley, MS). 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 Nekesha Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nekesha Johnson was last updated on January 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Nekesha Micole Johnson, FNP-BC · NPI 1710648050
Family physician in Grenada, Mississippi. Individual provider, active in the CMS NPPES registry since January 8, 2022.
## Identity
- **NPI:** 1710648050 (Entity type: Individual)
- **Enumerated:** January 8, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 905012 (Mississippi)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 960 J K AVENT DRIVE, Grenada, MS 38901
- **Phone:** (662) 227-7375
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): State Of Mississippi-University Of Mississippi Medical Center (NPI 1841620846, Grenada, MS); Fast Pace Mississippi, PLLC (NPI 1447769559, Ripley, MS) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 8, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1710648050) · Data from the CMS NPPES public registry.