1. Home
  2. Directory
  3. Utah
  4. Provo
  5. Nurse Practitioner
  6. NPI Profile

KEVIN JOHNSON MSN, APRN, FNP-C
NPI 1770124687
Nurse Practitioner in Provo, UT

Active since October 02, 2019PECOS EnrolledAccepts Medicare Assignment
1055 N 500 W STE 205, PROVO, UT 84604(801) 429-8095 Get Directions Write a Review

NPPES record last updated: April 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 22, 2020, Jan 15, 2020, Oct 2, 2019 (3 updates tracked since 2019).

About Kevin Johnson Msn, Aprn, Fnp-c NPPES

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

KEVIN JOHNSON MSN, APRN, FNP-C (NPI 1770124687) is an individual nurse practitioner in Provo, Utah, licensed in Utah (8262328-4405) and active in the NPI registry since October 2019. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1770124687
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameKEVIN JOHNSONCredential: MSN, APRN, FNP-C
Location Address1055 N 500 W STE 205Provo, UT 84604-3305
Mailing Address1055 N 500 W, Attn: CredentialingProvo, UT 84604-3305 · (801) 354-8225 · Fax (801) 418-0941
Phone(801) 429-8095
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 2, 2019
Last NPPES UpdateApril 22, 20203 updates tracked since enumeration
NPPES CertifiedApril 22, 2020
✔ NPI 1770124687 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 UT · 8262328-4405
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.
1055 N 500 W STE 205, Provo, UT 84604
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11926 W Pleasant Grove BlvdPleasant Grove, UT 84062-3317 · Phone (801) 899-1244
Location 2621 E 12300 SDraper, UT 84020-9854 · Phone (385) 337-4711

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Select Health, University of Utah Health Plans.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

Kevin Johnson Msn, Aprn, 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 ID7517393739
PECOS Enrollment IDI20200207000006
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 Reassignment

Medicare enrollment records show Kevin Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ihc Health Services Inc
0.1 mi
Hospitalist
1034 N 500 W
Provo, UT 84604
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
NPI 1134259294 (801) 357-8310

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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. MOHAMMED SOUBHI NIZAM M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1055 N 500 W STE 205
PROVO, UT 84604
Utah County (801) 429-8095
MRS. LESLIE DIANE PUTNAM APRN, FNP-C
Nurse Practitioner (Family)
1055 N 500 W STE 205
PROVO, UT 84604
Utah County (801) 429-8095

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 Kevin Johnson's NPI number?

The NPI number for Kevin Johnson is 1770124687. It was assigned to this individual provider in the NPPES registry on October 2, 2019.

Where is Kevin Johnson located?

Kevin Johnson practices at 1055 N 500 W Ste 205, Provo, UT 84604. The listed phone number is (801) 429-8095.

What is Kevin Johnson's specialty?

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

Is Kevin Johnson enrolled in Medicare?

Yes. Kevin 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 organization bills Medicare for Kevin Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Johnson reassigns Medicare benefits to Ihc Health Services Inc (Provo, UT). The 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 Kevin Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Johnson accept?

Health plans from Molina Healthcare, Select Health and University of Utah Health Plans list Kevin 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 Kevin Johnson was last updated on April 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.