Active NPI
Kyle Gregory Johnson, APRN FNP-C
- Family Nurse Practitioner
- Owensboro, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4011302
- Practice address
- 2211 Mayfair Dr Ste 101
Owensboro, KY 42301-4569 - Phone
- (270) 688-1352
- NPI assigned
- Nov 15, 2023
- Last updated
- Sep 30, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4011302 | KY | Primary |
Addresses
Primary practice location
2211 Mayfair Dr Ste 101
Owensboro, KY 42301-4569
Mailing address
113 W Broadway St
Princeton, IN 47670-1501
Phone (812) 480-9469
Other practice location 1
2005 N Dixie Hwy
Elizabethtown, KY 42701
Phone (812) 480-9469
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
- Carthage Area Hospital Inc
Practice addresses (Care Compare)
100 Horwood PL
Ogdensburg, NY 13669-4510
Phone (315) 394-9462
1001 W St
Carthage, NY 13619-9703
Phone (315) 493-1000
2005 N Dixie Hwy
Elizabethtown, KY 42701
Phone (270) 640-0146
214 King St
Ogdensburg, NY 13669-1142
Phone (315) 393-3600
2211 Mayfair Dr
Suite 101
Owensboro, KY 42301-4569
Phone (270) 691-8070
446 Fairview Ave
Suite 200
Hudson, NY 12534-1048
Phone (518) 267-3496
650 W Lincoln Trail Blvd
Radcliff, KY 40160-2679
Phone (270) 352-4601
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delphi Healthcare PLLC | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Family | Current | Accepting new patients |
| Acute Care LLC | Current | Accepting new patients | |
| Radcliff Urgent Care Clinic LLC | Current | Accepting new patients | |
| Wellnow Urgent Care, PC | Current | Accepting new patients | |
| Owensboro Health Medical Group, Inc. | Family | Current | Accepting new patients |
| Green Valley Emergency Physicians, LLC | Family | Current | Accepting new patients |
| CG Medical Associates Inc | Current | Accepting new patients | |
| Claxton-Hepburn Medical Center | Past | Accepting new patients |
Locations
2508 Scottsville Rd
Ste 104
Bowling Green, KY 42104
Phone (270) 746-6330
651 US 31W Byp
Ste 106
Bowling Green, KY 42101
Phone (270) 495-0440
7683 Mall Rd
Unit B
Florence, KY 41042
Phone (859) 817-1320
1324 Carter Rd
Owensboro, KY 42301
Phone (270) 713-4610
2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352
2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351
1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444
650 W Lincoln Trail Blvd
Radcliff, KY 40160
Phone (270) 351-3192
1001 West St
Carthage, NY 13619
Phone (315) 493-1000
446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496
845 Route 5 and 20
Irving, NY 14081
Phone (716) 593-1100
7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064
214 King St
Ogdensburg, NY 13669
Phone (315) 713-5660
7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100
Interoperability endpoints
- https://api.platform.athenahealth.com/25653/brand/1/csg/1/fhir/r4
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 10
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.
-
dba Owensboro Health Muhlenberg Community Hospital Wound Center
- Surgery Physician
- Greenville, KY
- NPI 1235518242
-
- Urgent Care Clinic/Center
- Radcliff, KY
- NPI 1508595034
-
- Emergency Medicine Physician
- Rochester, NY
- NPI 1003075029
-
dba WellNow Urgent Care
- Urgent Care Clinic/Center
- Liverpool, NY
- NPI 1669825162
-
- Emergency Medicine Physician
- Paducah, KY
- NPI 1720755739
Family
-
dba Practice Resources LLC
- Psychiatric Hospital
- Ogdensburg, NY
- NPI 1891753034
-
dba Owensboro Health Medical Group Premier Primary Care
- Internal Medicine Physician
- Owensboro, KY
- NPI 1306700711
Family
-
dba OHMCH Long Term Care
- Family Nurse Practitioner
- Greenville, KY
- NPI 1689291577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759190400000",
"number": "1730954181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 W BROADWAY ST",
"city": "PRINCETON",
"state": "IN",
"postal_code": "476701501",
"telephone_number": "812-480-9469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 MAYFAIR DR STE 101",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423014569",
"telephone_number": "270-688-1352"
}
],
"practiceLocations": [
{
"address_1": "2005 N Dixie Hwy",
"address_purpose": "LOCATION",
"city": "Elizabethtown",
"state": "KY",
"postal_code": "42701",
"country_code": "US",
"telephone_number": "812-480-9469",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "KYLE",
"middle_name": "GREGORY",
"credential": "APRN FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-15",
"last_updated": "2025-09-30",
"certification_date": "2025-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "4011302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.