Kristin K Johnson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

17953 Issued in NE

Practice address

825 Centennial Dr
Chadron, NE 69337-9400

Phone

(308) 432-4441

Fax

(308) 432-2130

NPI assigned

Nov 22, 2005

Sex

Female

Sole proprietor

No

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 NE

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

Specialty

Family Practice

Education

University of Nebraska College of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chadron Medical Clinic PCGroup PAC ID 8022086453, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Chadron Hospital Hospital, Chadron, NE, CCN 281341
• Gordon Memorial Hospital District Hospital, Gordon, NE, CCN 281358
• Regional West Medical Center Hospital, Scottsbluff, NE, CCN 280061
• Pioneer Manor Nursing Home Nursing home, Hay Springs, NE, CCN 285212
• Crest View Care Center Nursing home, Chadron, NE, CCN 285150

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Chadron Medical Clinic PC

  • General Practice Physician
  • Chadron, NE
  • NPI 1417167370
  Medicare reassignment Care Compare group NPD
• Chadron Community Hospital Corp.

  • Critical Access Hospital
  • Chadron, NE
  • NPI 1467675629
  Medicare reassignment NPD
• Chadron Medical Clinic PC

  • Family Medicine Physician
  • Chadron, NE
  • NPI 1619455946
  NPD (past)

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

• Chadron Community Hospital Corp.

  • Critical Access Hospital
  • Chadron, NE
  • NPI 1467675629
  Care Compare affiliation
• City of Hay Springs Pioneer Manor Nursing Home

  • Skilled Nursing Facility
  • Hay Springs, NE
  • NPI 1699756742

  Nursing home

  Care Compare affiliation
• Gordon Memorial Hospital

  • Critical Access Hospital
  • Gordon, NE
  • NPI 1174504849
  Care Compare affiliation
• Kismet CDR, LLC

  • Skilled Nursing Facility
  • Chadron, NE
  • NPI 1932107711

  Nursing home

  Care Compare affiliation
• Regional West Medical Center

  • General Acute Care Hospital
  • Scottsbluff, NE
  • NPI 1639101199
  Care Compare affiliation

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1316920465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 431",
            "city": "CHADRON",
            "state": "NE",
            "postal_code": "693370431",
            "telephone_number": "308-432-4441",
            "fax_number": "308-432-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 CENTENNIAL DR",
            "city": "CHADRON",
            "state": "NE",
            "postal_code": "693379400",
            "telephone_number": "308-432-4441",
            "fax_number": "308-432-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KRISTIN",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "17953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Jensen, PHARM D
• Johndreau Dental LLC
• Stephen Wade Johndreau, DDS
• Daniel R. Johnson, D.D.S.
• David D Johnson, MD
• Murray Johnson, CRNA
• Rachel Ann Johnson, BSW
• Scott Gene Johnson, D.C.
• Melany Qualls Jones
• Jopto PC

• Family Medicine Physician in Chadron, NE
• Providers in Chadron, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.