KELLIE NICOLE JOHNSON APRN NPI 1396975553

NPI Information

  • NPI: 1396975553
  • Provider Name: KELLIE NICOLE JOHNSON, APRN
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1600 S 48TH ST
    SUITE 600
    LINCOLN, NE
    ZIP 68506
  • Phone: (402) 483-3333

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NPI Details

Kellie Nicole Johnson, APRN is an adult health nurse practitioner in Lincoln, NE with 17 years of experience. Kellie Nicole Johnson, APRN NPI is 1396975553. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1600 S 48TH ST
SUITE 600
LINCOLN, NE
ZIP 68506-283
Phone: (402) 483-3333
Fax: (402) 483-3297

The NPI 1396975553 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)

The enumeration date for this NPI number is 7/22/2009 and was last updated on 11/14/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner1845NEBRASKANo
2363LA2200XNurse PractitionerAdult Health111063NEBRASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
147084496100MEDICAIDNEBRASKA
2099106003MEDICARE PINNEBRASKA
363153OTHERNEBRASKARN LICENSE
41845 TEMPOTHERNEBRASKAAPRN LICENSE
5111063OTHERNEBRASKAAPRN LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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