KRISTINA ELANE JOHNSON NP
NPI 1962052514
Nurse Practitioner in Tyler, TX
About Kristina Elane Johnson Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTINA ELANE JOHNSON NP (NPI 1962052514) is an individual nurse practitioner in Tyler, Texas, licensed in Texas (AP140053) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Tyler Regional Hospital, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Kristina Elane Johnson Np 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.
Medicare Billing Reassignment
Medicare enrollment records show Kristina Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tyler, TX 75701
- Reassigned Medicare billing, Texas enrollment
- 636 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ut Health East Texas Tyler Regional Hospital
Acute Care Hospitals · Tyler, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
TYLER, TX 75701
TYLER, TX 75701
TYLER, TX 75701
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 Kristina Johnson's NPI number?
The NPI number for Kristina Johnson is 1962052514. It was assigned to this individual provider in the NPPES registry on September 16, 2019.
Where is Kristina Johnson located?
Kristina Johnson practices at 2608 Mcdonald Rd, Tyler, TX 75701. The listed phone number is (903) 595-5514.
What is Kristina Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kristina Johnson enrolled in Medicare?
Yes. Kristina 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 organization bills Medicare for Kristina Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Johnson reassigns Medicare benefits to Etmc Physician Group Inc. (Tyler, TX). The 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 Kristina Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kristina 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 2 other insurers list Kristina 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 Kristina Johnson affiliated with any hospitals?
According to CMS data, Kristina Johnson is affiliated with Ut Health East Texas Tyler Regional Hospital.
When was this NPI record last updated?
The NPPES record for Kristina Johnson was last updated on September 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Kristina Elane Johnson, NP · NPI 1962052514
Nurse Practitioner physician in Tyler, Texas. Individual provider, active in the CMS NPPES registry since September 16, 2019.
## Identity
- **NPI:** 1962052514 (Entity type: Individual)
- **Enumerated:** September 16, 2019
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** AP140053 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 2608 MCDONALD RD, Tyler, TX 75701-5934
- **Phone:** (903) 595-5514 · **Fax:** (903) 262-3707
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Etmc Physician Group Inc. (NPI 1609382662, Tyler, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** September 16, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1962052514) · Data from the CMS NPPES public registry.