Nickey Joe Johnson Jr., APRN, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3016469 Issued in KY

Practice address

300 S 8TH St Ste 100W
Murray, KY 42071-2446

Phone

(270) 762-1547

Fax

(270) 752-2854

NPI assigned

Aug 19, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Murray-Calloway County Public Hospital CorporationGroup PAC ID 0840103297, 89 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Murray-Calloway County Hospital Hospital, Murray, KY, CCN 180027

Merit-based Incentive Payment System (MIPS)

Final score

83.99 of 100Reported as group

Quality

73.34

Promoting interoperability

100

Improvement activities

40

Cost

73.31

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nickey.johnson.1@9266.direct.athenahealth.com
• Direct secure messaging: nickey.johnson.2@9266.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 and National Provider Directory roles.

• Murray-Calloway County Public Hospital Corporation

  • Multi-Specialty Clinic/Center
  • Murray, KY
  • NPI 1629202858

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Murray-Calloway County Public Hospital Corporation

  • Rural Acute Care Hospital
  • Murray, KY
  • NPI 1063549814
  NPD

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

• Murray-Calloway County Public Hospital Corporation

  • General Acute Care Hospital
  • Murray, KY
  • NPI 1073504981
  Care Compare affiliation

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1154097046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S 8TH ST STE 480W",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712403",
            "telephone_number": "270-762-1547",
            "fax_number": "270-752-2854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S 8TH ST STE 100W",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712446",
            "telephone_number": "270-762-1547",
            "fax_number": "270-752-2854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "803 Poplar St",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "KY",
            "postal_code": "420712432",
            "country_code": "US",
            "telephone_number": "270-762-1100 x2220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 S 8th St Ste 401E",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "KY",
            "postal_code": "420712444",
            "country_code": "US",
            "telephone_number": "270-753-2444",
            "fax_number": "270-752-2865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "NICKEY",
        "middle_name": "JOE",
        "name_suffix": "Jr.",
        "credential": "APRN, NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-19",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3016469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Jocelyn, ATC
• John a Yezerski, MD
• Katelynn Johnson
• Madison Johnson
• Melissa Johnson, A.P.R.N.
• Brittany Nicole Jones, PHARMD
• Lauren Jones, RDN, LD
• Pamela Jones, MS, CCC-SLP
• Harshvadan P Joshi, MD
• Deeyar Jubran, MD

• Nurse Practitioner in Murray, KY
• Providers in Murray, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.