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AMIYA JADA JOHNSON APRN
NPI 1871371633
Nurse Practitioner - Psychiatric/Mental Health in Kenosha, WI

Active since September 21, 2023PECOS Enrolled
1400 75TH ST, KENOSHA, WI 53143(262) 909-6008 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Amiya Jada Johnson Aprn NPPES

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

AMIYA JADA JOHNSON APRN (NPI 1871371633) is an individual psychiatric/mental health provider in Kenosha, Wisconsin, licensed in Wisconsin (16909-33) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1871371633
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameAMIYA JADA JOHNSONCredential: APRN
Location Address1400 75TH STKenosha, WI 53143-1544
Mailing Address1400 75th StKenosha, WI 53143-1544 · (262) 909-6008
Phone(262) 909-6008
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 21, 2023
Last NPPES UpdateOctober 20, 2025
NPPES CertifiedOctober 20, 2025
✔ NPI 1871371633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WI · 16909-33
Also ListedRegistered NurseTaxonomy 163W00000X · License 041.518035 (IL)
1400 75TH ST, Kenosha, WI 53143
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware 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 (PECOS)

Amiya Jada Johnson Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476040106
PECOS Enrollment IDI20251015003443
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53143 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 15

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

EUGENE JOHN ELDRIDGE M.D.
Ophthalmology
1400 75TH ST, SUITE 3
KENOSHA, WI 53143
Kenosha County (262) 652-9500
LIPID SPECIALISTS, S.C.
Clinic/Center (Medical Specialty)
1400 75TH ST, SUITE 5
KENOSHA, WI 53143
Kenosha County (262) 656-1911
DR. MARY PATRICIA ELDRIDGE M.D.
General Practice
1400 75TH ST, SUITE #5
KENOSHA, WI 53143
Kenosha County (262) 656-1911
DR. ANNE NUDI DNP, APRN, FNP-BC
Nurse Practitioner (Family)
1400 75TH ST
KENOSHA, WI 53143
Kenosha County (262) 620-2942
E JOHN ELDRIDGE MD SC
Ophthalmology
1400 75TH ST, SUITE 3
KENOSHA, WI 53143
Kenosha County (262) 652-9500
JAMI LYNN POMEROY LPC
Counselor
1400 75TH ST
KENOSHA, WI 53143
Kenosha County (262) 909-6008
MRS. REBECCA ROSE BEWLEY LPC-IT, SAC-IT
Counselor (Mental Health)
1400 75TH ST
KENOSHA, WI 53143
Kenosha County (262) 909-6008
SARA CUMMINGS
Social Worker
1400 75TH ST
KENOSHA, WI 53143
Kenosha County (262) 909-6008

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 Amiya Johnson's NPI number?

The NPI number for Amiya Johnson is 1871371633. It was assigned to this individual provider in the NPPES registry on September 21, 2023.

Where is Amiya Johnson located?

Amiya Johnson practices at 1400 75th St, Kenosha, WI 53143. The listed phone number is (262) 909-6008.

What is Amiya Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Amiya Johnson enrolled in Medicare?

Yes. Amiya Johnson is registered in the Medicare PECOS enrollment system.

What insurance does Amiya Johnson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and Network Health and 2 other insurers list Amiya 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 Amiya Johnson was last updated on October 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.