Kenyua N Johnson, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · El Paso, TX
NPI 1669815478 · NPPES record last updated Oct 31, 2024
Key facts
- NPI
- 1669815478
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP133762 (TX)
- Practice address
- 4642 N Mesa St
El Paso, TX 79912-6104 - Phone
- (915) 200-2650
- NPI assigned
- Apr 10, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 17
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- El Paso County Hospital District
Inetmed RX2 Inc.
NM Family Services LLC
Practice addresses (Care Compare)
1521 Joe Battle Blvd
El Paso, TX 79936-6286
Phone (915) 760-5700
1635 S Don Roser Dr
Las Cruces, NM 88011-4550
Phone (575) 636-2506
4815 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 521-7902
4845 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 298-5444
5312 Rio Bravo Dr
Suite 10
Santa Teresa, NM 88008-9210
Phone (575) 915-1338
Hospital & facility affiliations
- University Medical Center of El Paso
Merit-based Incentive Payment System (MIPS)
- Final score
- 92 of 100
- Quality
- 90.22
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 75.52
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in TX, NM, IL, WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170918001058 | TX | Practitioner - Nurse Practitioner | 0941438998 | Reassigns benefits to 4 organizations |
| I20230908002906 | NM | Practitioner - Nurse Practitioner | 0941438998 | Reassigns benefits to 7 organizations |
| I20250121003591 | IL | Practitioner - Nurse Practitioner | 0941438998 | Reassigns benefits to 2 organizations |
| I20250603004033 | WA | Practitioner - Nurse Practitioner | 0941438998 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Bachelor of Arts, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN1560 | HI | MD | Family Nurse Practitioner |
| 66242 | NM | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Paso County Hospital District | Current |
Accepting new patients | |
| Affect Therapeutics Inc | Psychiatric/Mental Health | Current |
Accepting new patients |
| El Paso County Hospital District | Current |
Accepting new patients | |
| Affect Therapeutics, Inc. | Current |
Accepting new patients | |
| Psychiatry of Texas PLLC | Family | Current |
Accepting new patients |
| NM Family Services LLC | Current |
Accepting new patients | |
| Inetmed RX2 Inc. | Current |
Accepting new patients | |
| Psychplus Medical Associates, PLLC | Nurse Practitioner | Current |
Accepting new patients |
| New Mexico United Psych LLC | Nurse Practitioner | Current |
Accepting new patients |
| Body and Mind Health Care, LLC | Current | Accepting new patients | |
| NM Family Services LLC | Nurse Practitioner | Current |
Accepting new patients |
| Medical Housecalls Hawaii | Past | Accepting new patients | |
| NM Integrated Solutions | Past |
Accepting new patients |
Locations (25 of 28)
8880 E Speedway Blvd
Tucson, AZ 85710
1431 McHenry Rd
Ste 105
Buffalo Grove, IL 60089
Phone (708) 286-1264
14484 John Humphrey Dr
Orland Park, IL 60462
Phone (708) 741-2325
9310 Coors Blvd NW
Albuquerque, NM 87114
Phone (505) 431-1900
1202 Central Ave SW
Ste 19
Albuquerque, NM 87102
5000 Cutler Ave NE
Ste A
Albuquerque, NM 87110
Phone (505) 227-7434
4801 N Butler Ave
Ste 9102
Farmington, NM 87401
Phone (505) 327-3338
2801 Missouri Ave
Ste 22
Las Cruces, NM 88011
Phone (575) 636-2550
1635 S Don Roser Dr
Las Cruces, NM 88011
Phone (575) 522-1241
5312 Rio Bravo Dr
Ste 10
Sunland Park, NM 88008
15405 SW 116th Ave
Ste 124
King City, OR 97224
Phone (617) 921-6422
12180 N Mopac Expy
Ste B
Austin, TX 78758
Phone (512) 836-4999
12221 Merit Dr
Ste 450
Dallas, TX 75251
Phone (214) 217-1900
2110 W Trenton Rd
Ste A
Edinburg, TX 78539
Phone (956) 289-8200
4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000
1485 George Dieter Dr
El Paso, TX 79936
Phone (915) 231-2300
1485 George Dieter Dr
Ste 107
El Paso, TX 79936
Phone (915) 521-7087
5959 Gateway Blvd W
Ste 120
El Paso, TX 79925
4642 N Mesa St
El Paso, TX 79912
Phone (915) 200-2650
1521 Joe Battle Blvd
El Paso, TX 79936
Phone (915) 521-2200
3100 Alliance Town Ctr
Fort Worth, TX 76177
Phone (409) 938-5166
902 Frostwood Dr
Ste 201
Houston, TX 77024
Phone (713) 932-7872
7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109
23838 Highway 59 N
Kingwood, TX 77339
Phone (832) 869-4814
3800 Paluxy Dr
Ste 404
Tyler, TX 75703
Interoperability endpoints
- kenyua.johnson@direct.myhealthep.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP133762 | TX | Yes |
| Family Nurse Practitioner | 363LF0000X | APRN1560 | HI | |
| Family Nurse Practitioner | 363LF0000X | 66242 | NM | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP133762 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 66242 | NM |
Addresses
Primary practice location
4642 N Mesa St
El Paso, TX 79912-6104
Mailing address
12193 Dos Rios Dr Apt 205
El Paso, TX 79936-0260
Other practice location 1
2801 Missouri Ave Ste 22
Las Cruces, NM 88011-5062
Phone (575) 636-2550
Other practice location 2
5312 Rio Bravo Dr Ste 10
Santa Teresa, NM 88008-9210
Phone (575) 915-1338
Other practice location 3
1485 George Dieter Dr Ste 107
El Paso, TX 79936-7685
Phone (915) 790-5700
Other providers in El Paso, TX
- Athulya Johnson
- Cara Racheal Johnson
- Christopher Johnson
- Fedora Wynn Johnson
- Keith R Johnson
- Lisa Johnson
- Mandy Johnson
- Marilyn Faye Johnson
- Nikki Johnson
- Reese Johnson
All providers in El Paso, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.