Individual provider Active NPI

Rogena Kelly Johnson, M.D.

  • Family Medicine Physician
  • Hutchinson, KS
National Provider Identifier
1013059245
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-32896 Issued in KS
Practice address
1011 N Main St
Hutchinson, KS 67501-4403
Phone
(620) 860-1155
Fax
(620) 826-0022
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME103318 FL
Family Medicine Physician 207Q00000X 04-32896 KS Primary

Addresses

Primary practice location

1011 N Main St
Hutchinson, KS 67501-4403

Mailing address

1011 N Main St
Hutchinson, KS 67501-4403
Phone (620) 860-1155

Other identifiers 1

IdentifierTypeStateIssuer
200548040DMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080514000525 KS Practitioner - Family Practice 1254400484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

1011 N Main St
Hutchinson, KS 67501-4403
Phone (620) 860-1155

2600 Compass Rd
Glenview, IL 60026-8001

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME103318FLMDFamily Medicine Physician
04-32896KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hutchinson Regional Medical Center, Inc. Family Medicine CurrentSince Apr 1, 2022 Accepting new patients
Hutchinson Regional Medical Center, Inc. Current Accepting new patients
Arise Medical & Wellness House Family Medicine CurrentSince Mar 10, 2026 Accepting new patients
Hutchinson Regional Medical Center, Inc. Family Medicine CurrentSince Apr 1, 2022 Accepting new patients
St Lucie Medical Specialists LLC Family Medicine Past Accepting new patients
Mercy Kansas Communities Inc Past Accepting new patients

Locations

1011 N Main St
Hutchinson, KS 67501
Phone (620) 860-1155

1701 E 23rd Ave
Hutchinson, KS 67502
Phone (620) 665-2117

Interoperability endpoints

  • Direct secure messaging: rogena.johnson.1@19896.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1013059245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 N MAIN ST",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675014403",
            "telephone_number": "620-860-1155",
            "fax_number": "620-826-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N MAIN ST",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675014403",
            "telephone_number": "620-860-1155",
            "fax_number": "620-826-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROGENA",
        "middle_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME103318",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-32896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200548040D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutchinson, KS

Sources for this page

Verify at the official NPI Registry.