Kayla McCroskey Johnson

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024179198 Issued in VA

Practice address

1934 Leatherwood LN
Bluefield, VA 24605-2019

Phone

(762) 596-6735

NPI assigned

Jun 24, 2020

Last updated

Jan 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WV, VA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinch Professional Physician Services LLCGroup PAC ID 9436259223, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Clinch Valley Medical Center Hospital, Richlands, VA, CCN 490060
• Princeton Community Hospital Assn Inc Hospital, Princeton, WV, CCN 510046

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kayla.mccroskey.1@19847.direct.athenahealth.com

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.

• Clinch Professional Physician Services LLC

  • Surgery Physician
  • Richlands, VA
  • NPI 1609994284
  Medicare reassignment Care Compare group NPD
• Community Hospices of America LLC

  dba Hospice Compassus - Southern West Virginia

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Princeton, WV
  • NPI 1215487640
  Medicare reassignment NPD
• Clinch Professional Physician Services LLC

  dba Clinch Valley Family Care

  • Rural Health Clinic/Center
  • Cedar Bluff, VA
  • NPI 1669157285
  NPD
• Community Hospices of America, LLC

  dba Hospice Compassus - South Central Missouri

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Mountain Grove, MO
  • NPI 1023624558
  NPD
• Clinch Valley Urology, LLC

  • Urology Physician
  • Richlands, VA
  • NPI 1114955168
  NPD (past)

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

• Clinch Valley Medical Center Inc.

  dba Clinch Valley Medical Center

  • General Acute Care Hospital
  • Richlands, VA
  • NPI 1871534297
  Care Compare affiliation
• Princeton Community Hospital Assn., Inc.

  • General Acute Care Hospital
  • Princeton, WV
  • NPI 1558313213
  Care Compare affiliation

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1104442250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "BOISSEVAIN",
            "state": "VA",
            "postal_code": "246060247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 LEATHERWOOD LN",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246052019",
            "telephone_number": "762-596-6735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KAYLA",
        "middle_name": "MCCROSKEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "105609",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024179198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrated Dermatology of Bluefield, PLLC
• Mohammad Khalid Iqbal, MD
• Kerri A Jackson, NP
• Laura Charlotte Jacobs, OTR
• Javed Cardiac Center, PLLC
• K VA T Food Stores Inc (Food City Pharmacy)
• Joshua Lee Keene, D.C.
• Katherine Marie Keener, MACCC-SLP
• Candice Keim, CCC-SLP
• Shahid Munif Khokar, MD

• Family Nurse Practitioner in Bluefield, VA
• Providers in Bluefield, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.