Karissa A Johnson, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

32483 Issued in NE

Practice address

3911 Avenue B Ste 3100
Scottsbluff, NE 69361-4617

Phone

(308) 635-3033

Fax

(308) 635-3010

NPI assigned

Jun 19, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Obstetrics/Gynecology

Education

University of Nebraska College of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Regional West Physicians ClinicGroup PAC ID 2062301609, 136 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Regional West Medical Center Hospital, Scottsbluff, NE, CCN 280061
• Chadron Hospital Hospital, Chadron, NE, CCN 281341

Merit-based Incentive Payment System (MIPS)

Final score

80.07 of 100Reported as group

Quality

62.54

Promoting interoperability

98

Improvement activities

40

Cost

72.7

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Regional West Medical Center

  • Rehabilitation Hospital Unit
  • Scottsbluff, NE
  • NPI 1609989979

  Corporate Director

  CMS ownership
• Regional West Medical Center

  • Psychiatric Hospital Unit
  • Scottsbluff, NE
  • NPI 1871606137

  Corporate Director

  CMS ownership

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.

• Regional West Physicians Clinic

  • Family Medicine Physician
  • Scottsbluff, NE
  • NPI 1306910534
  Medicare reassignment Care Compare group NPD
• Chadron Community Hospital Corp.

  • Critical Access Hospital
  • Chadron, NE
  • NPI 1467675629
  Medicare reassignment NPD
• Regional West Medical Center

  • General Acute Care Hospital
  • Scottsbluff, NE
  • NPI 1639101199
  NPD (past)
• Regional West Medical Center

  • Emergency Medicine Physician
  • Scottsbluff, NE
  • NPI 1982718219
  NPD (past)
• Regional West Physicians Clinic

  • Rural Health Clinic/Center
  • Mitchell, NE
  • NPI 1992703425
  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
• 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": "1276905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1740501121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 AVENUE B STE 3100",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614617",
            "telephone_number": "308-635-3033",
            "fax_number": "308-635-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 AVENUE B STE 3100",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614617",
            "telephone_number": "308-635-3033",
            "fax_number": "308-635-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KARISSA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-19",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "261259",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NE",
            "license": "32483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David B Johnson, MD
• Jacquelyn Joy Johnson, COTA
• Jan E Johnson, RN,MS,CS
• Jasmine Marie Johnson
• Karen Ruth Johnson, RD, LMNT
• Stephen C. Johnson, M.D.
• Tara Johnson
• Carolyn Sue Jones, RN LIMHP
• Douglas Brenner Jones, ATC
• John David Jones III

• Obstetrics & Gynecology Physician in Scottsbluff, NE
• Providers in Scottsbluff, NE by specialty
• Obstetrics & Gynecology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.