TYLER KEITH JOHNSON APRN
NPI 1912748880
Nurse Practitioner - Acute Care in Waco, TX

Q: What is Tyler Johnson's NPI number?

The NPI number for Tyler Johnson is 1912748880. It was assigned to this individual provider in the NPPES registry on June 4, 2024.

Q: What is Tyler Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Johnson was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 04, 2024PECOS Enrolled

6901 MEDICAL PKWY, WACO, TX 76712(254) 751-4180 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tyler Keith Johnson Aprn NPPES

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

TYLER KEITH JOHNSON APRN (NPI 1912748880) is an individual acute care provider in Waco, Texas, licensed in Texas (1165582) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS, is affiliated with Ascension Providence, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1912748880

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameTYLER KEITH JOHNSONCredential: APRN

Location Address6901 MEDICAL PKWYWaco, TX 76712-7910

Mailing Address6901 Medical PkwyWaco, TX 76712-7910 · (254) 751-4180

Phone(254) 751-4180

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJune 4, 2024

NPPES CertifiedApril 28, 2024

✔ NPI 1912748880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in TX · 1165582

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 1165582 (TX)

6901 MEDICAL PKWY, Waco, TX 76712

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, Sendero Health Plans, Local Nonprofit.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)

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

PECOS PAC ID1557806221

PECOS Enrollment IDI20240717003841

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.

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

16 services16 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Ascension Providence

Acute Care Hospitals · Waco, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450042

Location6901 Medical ParkwayWaco, TX 76712 · Mc Lennan County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76712 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 20

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

EIDEL NERLI ADAMS

Nurse Practitioner (Family)