KATHLEEN C JOHNSON APRN, CNM
NPI 1811010796
Advanced Practice Midwife in Melbourne, FL

Q: What is Kathleen Johnson's NPI number?

The NPI number for Kathleen Johnson is 1811010796. It was assigned to this individual provider in the NPPES registry on April 7, 2007.

Q: What is Kathleen Johnson's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Johnson was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 April 07, 2007PECOS EnrolledAccepts Medicare Assignment

330 E HIBISCUS BLVD, MELBOURNE, FL 32901(321) 724-2229(321) 728-6668 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2025, Aug 17, 2017 (2 updates tracked since 2017).

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About Kathleen C Johnson Aprn, Cnm NPPES

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

KATHLEEN C JOHNSON APRN, CNM (NPI 1811010796) is an individual advanced practice midwife in Melbourne, Florida, licensed in Florida (APRN1949352) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Holmes Regional Medical Center, and maintains a secondary practice location in Melbourne.

NPPES Registry Identity

NPI1811010796

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameKATHLEEN C JOHNSONCredential: APRN, CNM

Location Address330 E HIBISCUS BLVDMelbourne, FL 32901-3155

Mailing Address330 E Hibiscus BlvdMelbourne, FL 32901-3155 · (321) 724-2229 · Fax (321) 728-6668

Phone(321) 724-2229

Fax(321) 728-6668

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateApril 7, 2007

Last NPPES UpdateApril 15, 20252 updates tracked since enumeration

NPPES CertifiedApril 15, 2025

✔ NPI 1811010796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

License✔ Licensed in FL · APRN1949352

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

330 E HIBISCUS BLVD, Melbourne, FL 32901

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Secondary Practice Location 1

Location 12325 Vidina DrMelbourne, FL 32940-7698 · Phone (321) 471-1068 · Fax (321) 434-9285

Other Identifiers 2

Medicaid012338500FL

OtherU2366FL · Medicare Hf

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Kathleen C Johnson Aprn, Cnm 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 ID1759369390

PECOS Enrollment IDI20040710000193

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.

Hospital Affiliations CMS Care Compare 2

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

Holmes Regional Medical Center

Acute Care Hospitals · Melbourne, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100019

Location1350 S Hickory StMelbourne, FL 32901 · Brevard County

Emergency services Birthing friendly

Viera Hospital

Acute Care Hospitals · Melbourne, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100315

Location8745 N Wickham RdMelbourne, FL 32940 · Brevard County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32901 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Reported Quality Measures

Cervical Cancer Screening

87%350 patients4/55-star benchmark: 98%

Documentation of Current Medications in the Medical Record

91%539 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

38%26 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

60%469 patients4/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 30% · 366 patients

29%366 patients

Provide Patients Electronic Access to Their Health Information

100%121 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

LYNNE MINER-HASLER ARNP, CNM

Advanced Practice Midwife