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MONICA LYNN JOHNSON APRN
NPI 1861990228
Nurse Practitioner - Family in Mt Sterling, KY

Active since January 31, 2018PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
125 FOXGLOVE DR STE D, MT STERLING, KY 40353(859) 498-3333(859) 498-3332 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 7, 2023, Feb 6, 2020, Jan 23, 2020 (3 updates tracked since 2020).

About Monica Lynn Johnson Aprn NPPES

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

MONICA LYNN JOHNSON APRN (NPI 1861990228) is an individual family provider in Mt Sterling, Kentucky, licensed in Kentucky (3011481) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph Mount Sterling, and maintains a secondary practice location in Owingsville.

NPPES Registry Identity

NPI1861990228
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMONICA LYNN JOHNSONCredential: APRN
Location Address125 FOXGLOVE DR STE DMt Sterling, KY 40353-9735
Mailing Address784 Highway 36Frenchburg, KY 40322-8123 · (606) 768-9190 · Fax (606) 768-9180
Phone(859) 498-3333
Fax(859) 498-3332
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 31, 2018
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2020
✔ NPI 1861990228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3011481
125 FOXGLOVE DR STE D, Mt Sterling, KY 40353
Open in Google Maps ↗

Secondary Practice Location 1

Location 117 Miller DrOwingsville, KY 40360-2212 · Phone (606) 674-3033 · Fax (606) 674-3036

Other Identifiers 1

Other3011481KY · Ky Aprn License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama 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 and accepts Medicare assignment

Monica Lynn Johnson Aprn 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 ID4486084803
PECOS Enrollment IDI20200424002264
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

5

Medicare enrollment records show Monica Johnson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baptist Health Medical Group Inc
30 mi
Nurse Practitioner
4071 TATES CREEK CENTRE DR, STE 202
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • 999 clinicians in this Medicare group
NPI 1518360296 (859) 260-4390
Kentucky Mso LLC
34 mi
Interventional Cardiology
1154 LEXINGTON RD
Georgetown, KY 40324
  • Reassigned Medicare billing, Kentucky enrollment
  • 92 clinicians in this Medicare group
NPI 1093051807 (502) 863-3329
Kiosk Medicine Kentucky LLC
92 mi
Family
3039 BRECKENRIDGE LN
Louisville, KY 40220
  • Reassigned Medicare billing, Kentucky enrollment
  • 488 clinicians in this Medicare group
NPI 1205885035 (502) 451-4555
Fast Pace Kentucky PLLC
172 mi
Family
1475 NASHVILLE RD
Franklin, KY 42134
  • Reassigned Medicare billing, Kentucky enrollment
  • 427 clinicians in this Medicare group
NPI 1457716706 (270) 813-1111
Upperline Healthcare, PC
359 mi
Foot & Ankle Surgery
2116 CHAPEL HILL RD
Hoover, AL 35216
  • Reassigned Medicare billing, Kentucky enrollment
  • 270 clinicians in this Medicare group
NPI 1538686498 (407) 219-5402

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

Hospital Affiliations CMS Care Compare

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

Saint Joseph Mount Sterling

Acute Care Hospitals · Mount Sterling, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number180064
Location225 Falcon DriveMount Sterling, KY 40353 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40353 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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 Monica Johnson's NPI number?

The NPI number for Monica Johnson is 1861990228. It was assigned to this individual provider in the NPPES registry on January 31, 2018.

Where is Monica Johnson located?

Monica Johnson practices at 125 Foxglove Dr Ste D, Mt Sterling, KY 40353. The listed phone number is (859) 498-3333.

What is Monica Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Monica Johnson enrolled in Medicare?

Yes. Monica 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 organizations bill Medicare for Monica Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monica Johnson reassigns Medicare benefits to 5 organizations: Baptist Health Medical Group Inc (Lexington, KY), Kentucky Mso LLC (Georgetown, KY), Kiosk Medicine Kentucky LLC (Louisville, KY), Fast Pace Kentucky PLLC (Franklin, KY) and Upperline Healthcare, PC (Hoover, AL). 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 Monica Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Monica Johnson accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Monica 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.

Is Monica Johnson affiliated with any hospitals?

According to CMS data, Monica Johnson is affiliated with Saint Joseph Mount Sterling.

When was this NPI record last updated?

The NPPES record for Monica Johnson was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.