Active NPI
Kristin M Johnston, NP
- Family Nurse Practitioner
- Columbus, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 905439
- Practice address
- 520 Willowbrook Rd
Columbus, MS 39705-2015 - Phone
- (662) 240-1412
- Fax
- (662) 240-1949
- NPI assigned
- Oct 3, 2022
- Sex
- Female
- 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 | 905439 | MS | Primary |
Addresses
Primary practice location
520 Willowbrook Rd
Columbus, MS 39705-2015
Mailing address
965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401
Other practice location 1
4381 S Eason Blvd Ste 301
Tupelo, MS 38801-6584
Phone (662) 377-3008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221116001222 | MS | Practitioner - Nurse Practitioner | 8921476359 | Reassigns benefits to 3 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
- Baptist Memorial Medical Group, Inc.
Practice addresses (Care Compare)
520 Willowbrook Rd
Columbus, MS 39705-2015
Phone (662) 240-1412
Hospital & facility affiliations
- BMH-Golden Triangle
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 905439 | MS | MD | Family Nurse Practitioner |
Practice roles
Locations
8613 MS Highway 12
Ackerman, MS 39735
Phone (662) 285-4400
255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288
520 Willowbrook Rd
Columbus, MS 39705
Phone (662) 240-1412
4381 S Eason Blvd
Ste 302
Tupelo, MS 38801
Phone (662) 377-5700
830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136
4381 S Eason Blvd
Ste 301
Tupelo, MS 38801
Phone (662) 377-3008
845 S Madison St
Tupelo, MS 38801
Phone (601) 790-5025
965 Ridge Lake Blvd
Ste 315
Memphis, TN 38120
Phone (877) 348-1281
Interoperability endpoints
- kjohnston583399@direct.bmhcc.org
Organizations & group practices 31
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.
-
- Internal Medicine Physician
- Tupelo, MS
- NPI 1053469486
Family, MS
-
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1841006129
-
- Community/Retail Pharmacy
- Germantown, TN
- NPI 1174087324
-
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1184481814
-
- Diagnostic Radiology Physician
- Tupelo, MS
- NPI 1902762487
-
- Neurological Surgery Physician
- Tupelo, MS
- NPI 1013385715
Family
-
- Obstetrics & Gynecology Physician
- West Point, MS
- NPI 1588769970
-
- Pediatrics Physician
- Tupelo, MS
- NPI 1235635566
-
- Family Medicine Physician
- Tupelo, MS
- NPI 1063739290
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbus, MS
- NPI 1609830173
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690243200000",
"number": "1922722883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "965 RIDGE LAKE BLVD STE 315",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381209401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 WILLOWBROOK RD",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397052015",
"telephone_number": "662-240-1412",
"fax_number": "662-240-1949"
}
],
"practiceLocations": [
{
"address_1": "4381 S Eason Blvd Ste 301",
"address_purpose": "LOCATION",
"city": "Tupelo",
"state": "MS",
"postal_code": "388016584",
"country_code": "US",
"telephone_number": "662-377-3008",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSTON",
"first_name": "KRISTIN",
"middle_name": "M",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-03",
"last_updated": "2023-07-25",
"certification_date": "2023-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "905439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.