TYLER KEITH JOHNSON APRN
NPI 1912748880
Nurse Practitioner - Acute Care in Waco, TX
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tyler Keith Johnson Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Tyler Johnson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Waco, TX 76712
- Reassigned Medicare billing, Texas enrollment
- 176 clinicians in this Medicare group
Austin, TX 78705
- Reassigned Medicare billing, Texas enrollment
- 1,511 clinicians in this Medicare group
Frisco, TX 75033
- Reassigned Medicare billing, Texas enrollment
- 279 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, TXPhysician 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.
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.
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 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.
Where is Tyler Johnson located?
Tyler Johnson practices at 6901 Medical Pkwy, Waco, TX 76712. The listed phone number is (254) 751-4180.
What is Tyler Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Tyler Johnson enrolled in Medicare?
Yes. Tyler Johnson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Tyler Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Johnson reassigns Medicare benefits to 3 organizations: Providence Health Alliance (Waco, TX), Travis County Emergency Physicians PA (Austin, TX) and Legacy Urgent Care, PA (Frisco, TX). 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 Tyler Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tyler Johnson accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Tyler 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 Tyler Johnson affiliated with any hospitals?
According to CMS data, Tyler Johnson is affiliated with Ascension Providence.
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.
# Tyler Keith Johnson, APRN · NPI 1912748880
Acute Care physician in Waco, Texas. Individual provider, active in the CMS NPPES registry since June 4, 2024.
## Identity
- **NPI:** 1912748880 (Entity type: Individual)
- **Enumerated:** June 4, 2024
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 1165582 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 6901 MEDICAL PKWY, Waco, TX 76712-7910
- **Phone:** (254) 751-4180
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Providence Health Alliance (NPI 1932210838, Waco, TX); Travis County Emergency Physicians PA (NPI 1962440933, Austin, TX); Legacy Urgent Care, PA (NPI 1568622272, Frisco, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** June 4, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1912748880) · Data from the CMS NPPES public registry.