Individual provider Active NPI

Tonya Denise Johnson, APRN

  • Family Nurse Practitioner
  • Paducah, KY
National Provider Identifier
1285034629
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3008888 Issued in KY
Practice address
1530 Lone Oak Rd
Paducah, KY 42003-7901
Phone
(270) 444-2150
Fax
(270) 444-2985
NPI assigned
Sep 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3008888 KY Primary

Addresses

Primary practice location

1530 Lone Oak Rd
Paducah, KY 42003-7901

Mailing address

PO Box 636961
Cincinnati, OH 45263-6961
Phone (513) 981-5130

Other identifiers 1

IdentifierTypeStateIssuer
7100323990MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN, WA, TX, SC, GA6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20141114001835 KY Practitioner - Nurse Practitioner 0244452829 Reassigns benefits to 7 organizations
I20191004001459 TN Practitioner - Nurse Practitioner 0244452829 Reassigns benefits to 4 organizations
I20220502001925 WA Practitioner - Nurse Practitioner 0244452829 Reassigns benefits to 6 organizations
I20220614000101 TX Practitioner - Nurse Practitioner 0244452829 Reassigns benefits to 1 organization
I20250422001118 SC Practitioner - Nurse Practitioner 0244452829 Reassigns benefits to 1 organization
I20250611000364 GA Practitioner - Nurse Practitioner 0244452829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians
Metro Infectious Disease Consultants LLCGroup PAC ID 3072425784, 386 clinicians
Crittenden Community Hospital LLCGroup PAC ID 8426398793, 17 clinicians
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

2501 Kentucky Ave
Paducah, KY 42003-3813
Phone (270) 575-2100

4645 Village Square Dr
Suite F1
Paducah, KY 42001-7448
Phone (877) 448-3627

520 W Gum St
Marion, KY 42064-1516
Phone (270) 965-1042

546 Lone Oak Rd
Paducah, KY 42003-4526
Phone (270) 442-3647

Hospital & facility affiliations

  • Baptist Health Paducah Hospital, Paducah, KY, CCN 180104
  • Crittenden Community Hospital Hospital, Marion, KY, CCN 180779
  • Murray-Calloway County Hospital Hospital, Murray, KY, CCN 180027
  • Massac Memorial Hospital Hospital, Metropolis, IL, CCN 141323
  • Jackson Purchase Medical Center Hospital, Mayfield, KY, CCN 180116

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29750SCMDInternal Medicine Physician
3008888KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crittenden Community Hospital LLC CurrentSince May 1, 2025 Accepting new patients
Marshall County Hospital District Family CurrentSince Mar 28, 2016 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince May 27, 2022 Accepting new patients
Southeastern Emergency Physicians LLC CurrentSince Aug 1, 2023 Accepting new patients
Southeastern Physician Services PC CurrentSince Aug 1, 2023 Accepting new patients
App of Tennessee Ed, PLLC CurrentSince Nov 1, 2019 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince May 27, 2022 Accepting new patients
Adams County Public Hospital District 2 CurrentSince Sep 13, 2024 Accepting new patients
Lincoln County Public Hospital District 1 CurrentSince Jul 11, 2025 Accepting new patients
Okanogan Douglas County Hospital Dist 1 CurrentSince Apr 15, 2022 Accepting new patients
Crittenden Community Hospital LLC Current Accepting new patients
Metro Infectious Disease Consultants, LLC CurrentSince Apr 17, 2025 Accepting new patients
Okanogan Douglas County Hospital Dist 1 Current Accepting new patients
Marshall County Hospital District CurrentSince Mar 28, 2016 Accepting new patients
Grant County Public Hospital District 3 CurrentSince Apr 1, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Feb 1, 2026 Accepting new patients
Okanogan Douglas County Hospital Dist1 CurrentSince Apr 15, 2022 Accepting new patients
Crittenden Community Hospital LLC CurrentSince May 1, 2025 Accepting new patients
Adams County Hospital 2 CurrentSince Sep 13, 2024 Accepting new patients
Metro Infectious Disease Consultants LLC CurrentSince Apr 17, 2025 Accepting new patients
Emergency Coverage, LLC CurrentSince Feb 1, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Feb 1, 2026 Accepting new patients
Lincoln County Public Hospital District 1 Current Accepting new patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Lincoln County Public Hospital District 1 CurrentSince Jul 11, 2025 Accepting new patients
Family Practice Clinic PSC Family Current Accepting new patients
Lincoln County Public Hospital District 1 Past Accepting new patients
Metro Infectious Disease Consultants, LLC Past Accepting new patients

Locations (25 of 27)

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

617 Old Symsonia Rd
Benton, KY 42025
Phone (270) 527-2411

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

320 W 18th St
Hopkinsville, KY 42240
Phone (270) 887-0100

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

1169 Eastern Pkwy
Ste 1135
Louisville, KY 40217

1850 Bluegrass Ave
Louisville, KY 40215
Phone (502) 361-6617

1099 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100

546 Lone Oak Rd
Paducah, KY 42003
Phone (270) 441-4777

2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180

2603 Kentucky Ave
Ste 404
Paducah, KY 42003
Phone (270) 443-6472

4645 Village Square Dr
Ste F1
Paducah, KY 42001

727 Hospital Dr
Shelbyville, KY 40065
Phone (502) 633-2345

360 Amsden Ave
Versailles, KY 40383
Phone (606) 873-3111

1325 Highway 76
Clarksville, TN 37043
Phone (615) 788-9324

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

653 Merchants Greene Blvd
Morristown, TN 37813
Phone (423) 492-6900

908 W 4th North St
Morristown, TN 37814
Phone (423) 492-9000

7565 Dannaher Dr
Powell, TN 37849
Phone (865) 545-8000

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/critten-2b2d21fb

Organizations & group practices 30

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.

View all 30

Hospital & facility affiliations 5

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": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1285034629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636961",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636961",
            "telephone_number": "513-981-5130",
            "fax_number": "513-981-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 LONE OAK RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037901",
            "telephone_number": "270-444-2150",
            "fax_number": "270-444-2985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TONYA",
        "middle_name": "DENISE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-03",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100323990",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.