Individual provider Active NPI

Katherine L Johnston, ACNPC-AG

  • Critical Care Medicine Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1376097642
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
AP131970 Issued in TX
Practice address
3215 Gateway Blvd W
El Paso, TX 79903-4225
Phone
(915) 248-6070
Fax
(915) 633-6598
NPI assigned
Aug 4, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X CNP-03238 NM
Critical Care Medicine Nurse Practitioner 363LC0200X AP131970 TX Primary
Critical Care Medicine Registered Nurse 163WC0200X 539246 TX

Addresses

Primary practice location

3215 Gateway Blvd W
El Paso, TX 79903-4225

Mailing address

3215 Gateway Blvd. West
El Paso, TX 79913-0548
Phone (915) 598-7246

Other practice location 1

7825 N Mesa St
El Paso, TX 79932-1623
Phone (915) 598-7246

Other practice location 2

880 S Telshor Blvd Ste 100
Las Cruces, NM 88011-8683
Phone (575) 395-7246

Other practice location 3

12200 Paseo Nuevo Dr
El Paso, TX 79928-5796
Phone (915) 598-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170710001105 TX Practitioner - Nurse Practitioner 1052680956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epmed, PAGroup PAC ID 9032269881, 22 clinicians

Practice addresses (Care Compare)

12200 Paseo Nuevo Dr
El Paso Pain Center
El Paso, TX 79928-5796
Phone (915) 598-7246

3215 Gateway Blvd W
El Paso Pain Center
El Paso, TX 79903-4225
Phone (915) 598-7246

3215 Gateway Blvd W a
El Paso Primary Care Associates
El Paso, TX 79903-4225
Phone (915) 500-6080

7825 N Mesa St
El Paso Pain Center
El Paso, TX 79932-1623
Phone (915) 598-7246

Merit-based Incentive Payment System (MIPS)

Final score
82.06 of 100Reported as group
Quality
60.32
Promoting interoperability
98
Improvement activities
40
Cost
71.65

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Epmed, PA Current Accepting new patients

Locations

3215 Gateway Blvd W
El Paso, TX 79903
Phone (915) 598-7246

7825 N Mesa St
El Paso, TX 79932
Phone (915) 598-7246

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1376097642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 GATEWAY BLVD. WEST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799130548",
            "telephone_number": "915-598-7246",
            "fax_number": "915-633-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 GATEWAY BLVD W",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799034225",
            "telephone_number": "915-248-6070",
            "fax_number": "915-633-6598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7825 N Mesa St",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799321623",
            "country_code": "US",
            "telephone_number": "915-598-7246",
            "fax_number": "915-633-6598",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "880 S Telshor Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880118683",
            "country_code": "US",
            "telephone_number": "575-395-7246",
            "fax_number": "575-652-4607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12200 Paseo Nuevo Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799285796",
            "country_code": "US",
            "telephone_number": "915-598-7246",
            "fax_number": "915-633-6598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "KATHERINE",
        "middle_name": "L",
        "credential": "ACNPC-AG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NM",
            "license": "CNP-03238",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "TX",
            "license": "AP131970",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "TX",
            "license": "539246",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.