Individual provider Active NPI

Darren Keith Johnson, ACNPC-AG

  • Emergency Medical Services (Emergency Medicine) Physician
  • Bullhead City, AZ
National Provider Identifier
1205328382
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
AP11331 Issued in AZ
Practice address
3015 Highway 95 Ste 106
Bullhead City, AZ 86442-4334
Phone
(928) 201-0881
Fax
(928) 763-2230
NPI assigned
Jun 4, 2018
Last updated
Jun 30, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X AP11331 AZ Primary

Addresses

Primary practice location

3015 Highway 95 Ste 106
Bullhead City, AZ 86442-4334

Mailing address

601 El Dorado St
Kingman, AZ 86401-6224
Phone (928) 897-7468

Other practice location 1

601 El Dorado St
Kingman, AZ 86401-6224
Phone (928) 897-7468

Other practice location 2

3015 Highway 95 Ste 105
Bullhead City, AZ 86442-4334
Phone (928) 201-0881

Other identifiers 1

IdentifierTypeStateIssuer
400262MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20180706002012 AZ Practitioner - Nurse Practitioner 2062768948 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25819 W Kendall St
Buckeye, AZ 85326-2922

3514 Cedar Springs Rd
Dallas, TX 75219-4901

5000 Hopyard Rd
Suite 410
Pleasanton, CA 94588-3145

601 El Dorado St
Kingman, AZ 86401-6224

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Emergency Medicine Specialists PC CurrentSince Aug 20, 2018 Accepting new patients
Nes Arizona Inc Current Accepting new patients
Exceptional Physicians Group Yuma Hospital PLLC CurrentSince Nov 10, 2024 Accepting new patients
Lakeside Orthopedic Institute LLC CurrentSince Dec 1, 2024 Accepting new patients
Nes Arizona Inc CurrentSince May 26, 2018 Accepting new patients
Exceptional Physicians Group Arizona PLLC Emergency Medical Services CurrentSince Nov 10, 2024 Accepting new patients
Desert Palms Medical Associates Inc CurrentSince Jan 1, 2022 Accepting new patients
Exceptional Physicians Group Bullhead City Hospital PLLC Emergency Medical Services CurrentSince Nov 10, 2024 Accepting new patients
Lakeside Orthopedic Institute LLC CurrentSince Dec 1, 2024 Accepting new patients
Exceptional Physicians Group Prescott Hospital PLLC Emergency Medical Services CurrentSince Mar 21, 2025 Accepting new patients
Emergency Physicians Southwest, PC CurrentSince Mar 1, 2025 Accepting new patients
Exceptional Health Care Prescott LLC PastSince Aug 1, 2024 Accepting new patients
Exceptional Health Care Maricopa LLC PastSince Jul 25, 2021 Accepting new patients
Lakeside Orthopedic Institute LLC Past Accepting new patients
Exceptional Health Care Bullhead City LLC PastSince Nov 19, 2023 Accepting new patients
Lakeside Orthopedic Institute LLC Past Accepting new patients
Lakeside Orthopedic Institute LLC Past Accepting new patients

Locations

450 S Ocotillo St
Benson, AZ 85602
Phone (520) 586-2261

2365 Highway 95
Bullhead City, AZ 86442
Phone (928) 224-2443

3015 Highway 95
Ste 105
Bullhead City, AZ 86442
Phone (928) 763-2001

3015 Highway 95
Ste 106
Bullhead City, AZ 86442
Phone (928) 758-9500

5330 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 788-2273

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

1944 Mesquite Ave
Lk Havasu Cty, AZ 86403
Phone (928) 505-9729

25 Riviera Blvd
Lk Havasu Cty, AZ 86403
Phone (928) 505-7246

19060 N John Wayne Pkwy
Maricopa, AZ 85139
Phone (480) 631-0675

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

4822 E State Route 69
Prescott, AZ 86301
Phone (436) 341-7800

2648 S Araby Rd
Yuma, AZ 85365
Phone 4693417800100

3514 Cedar Springs Rd
Dallas, TX 75219
Phone (281) 415-6687

7300 State Highway 121
Ste 374
McKinney, TX 75070

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 1

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": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1205328382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 EL DORADO ST",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864016224",
            "telephone_number": "928-897-7468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 HIGHWAY 95 STE 106",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864424334",
            "telephone_number": "928-201-0881",
            "fax_number": "928-763-2230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 El Dorado St",
            "address_purpose": "LOCATION",
            "city": "Kingman",
            "state": "AZ",
            "postal_code": "864016224",
            "country_code": "US",
            "telephone_number": "928-897-7468",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3015 Highway 95 Ste 105",
            "address_purpose": "LOCATION",
            "city": "Bullhead City",
            "state": "AZ",
            "postal_code": "864424334",
            "country_code": "US",
            "telephone_number": "928-201-0881",
            "fax_number": "928-763-2038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DARREN",
        "middle_name": "KEITH",
        "credential": "ACNPC-AG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-04",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "AZ",
            "license": "AP11331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400262",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

Verify at the official NPI Registry.