NPIMap

Individual provider Active NPI

Kylie Jean Johnson, DNP, ARNP, FNP-C

  • Family Nurse Practitioner
  • Des Moines, IA
National Provider Identifier
1730803156
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A171243 Issued in IA
Practice address
411 Laurel St Ste A250
Des Moines, IA 50314-3029
Phone
(515) 235-5000
Fax
(515) 288-6713
NPI assigned
Sep 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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 A171243 IA Primary

Addresses

Primary practice location

411 Laurel St Ste A250
Des Moines, IA 50314-3029

Mailing address

PO Box 9170
Des Moines, IA 50306-9170
Phone (515) 633-3600

Other names 1

  • Dr. Kylie Jean Johnson Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kylie.johnson@commonspirit.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230104001016 IA Practitioner - Nurse Practitioner 0446620611 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dallas County HospitalGroup PAC ID 9931094257, shared by 6 NPIs, 13 clinicians

Practice addresses (Care Compare)

610 10TH St
Perry, IA 50220-2221
Phone (515) 465-7555

610 10TH St
Perry, IA 50220-2249

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A171243IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Hospital Current Accepting new patients
Dallas County Hospital CurrentSince Aug 4, 2025 Accepting new patients
Catholic Health Initiatives-Iowa Corp CurrentSince Dec 25, 2022 Accepting new patients
Grinnell Regional Medical Center Family CurrentSince Mar 15, 2026 Accepting new patients
Catholic Health Initiatives-Iowa Corp CurrentSince Dec 25, 2022 Accepting new patients
Dallas County Hospital CurrentSince Aug 4, 2025 Accepting new patients

Locations

1816 Philadelphia St
Ames, IA 50010
Phone (515) 232-2500

1111 6th Ave
Des Moines, IA 50314
Phone (515) 247-3121

411 Laurel St
Ste A250
Des Moines, IA 50314
Phone (515) 235-5000

202 4th Ave
Fl 2
Grinnell, IA 50112
Phone (641) 236-2925

610 10th St
Perry, IA 50220
Phone (515) 465-3547

Interoperability endpoints

  • Direct secure messaging: kjohnson3948609@direct.trinity-health.org
  • Direct secure messaging: kylie.johnson.p1@direct.iowaheart.nextgenshare.com

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1730803156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9170",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503069170",
            "telephone_number": "515-633-3600",
            "fax_number": "515-633-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 LAUREL ST STE A250",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143029",
            "telephone_number": "515-235-5000",
            "fax_number": "515-288-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KYLIE",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "DNP, ARNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A171243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kylie.johnson@commonspirit.org",
            "affiliation": "N",
            "endpointDescription": "email address",
            "address_1": "1111 6th Ave",
            "city": "Des Moines",
            "state": "IA",
            "country_code": "US",
            "postal_code": "503142611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KYLIE",
            "last_name": "JOHNSON",
            "middle_name": "JEAN",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.