Individual provider Active NPI

Kristin M Johnston, NP

  • Family Nurse Practitioner
  • Columbus, MS
National Provider Identifier
1922722883
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
905439 Issued in MS
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

Updated by the provider on Jul 25, 2023

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.Group PAC ID 5193610228, 581 clinicians

Practice addresses (Care Compare)

520 Willowbrook Rd
Columbus, MS 39705-2015
Phone (662) 240-1412

Hospital & facility affiliations

  • BMH-Golden Triangle Hospital, Columbus, MS, CCN 250100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
905439MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Center Inc Current Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Aug 21, 2023 Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Aug 21, 2023 Accepting new patients
North Mississippi Medical Clinics Inc CurrentSince Oct 28, 2022 Accepting new patients
North Mississippi Medical Center, Inc. Family CurrentSince Jan 1, 2023 Accepting new patients
North Mississippi Medical Clinics Inc Family CurrentSince Oct 28, 2022 Accepting new patients
North Mississippi Medical Center Past Accepting new patients
North Mississippi Medical Center Past Accepting new patients
North Mississippi Medical Center, Inc. Past Accepting new patients
North Mississippi Medical Center Inc. Past Accepting new patients
North Mississippi Medical Center, Inc. Past Accepting new patients
North Mississippi Medcial Center, Inc. Family Past Accepting new patients
North Mississippi Medical Center Family Past Accepting new patients
North Mississippi Medical Center, Inc. Past Accepting new patients
North Mississippi Medical Center Past Accepting new patients
North Mississippi Medical Center Inc Past Accepting new patients
North Mississippi Medical Center, Inc. Family Past Accepting new patients
North Mississippi Medical Center, Inc. Family Past Accepting new patients
North Mississippi Medical Center Past Accepting new patients
North Mississippi Medical Center Inc Past Accepting new patients
North Mississippi Medical Center Past Accepting new patients
North Mississippi Medical Center Inc. Past Accepting new patients
North Mississippi Medical Center Past Accepting new patients
North Mississippi Medical Center, Inc Past Accepting new patients
North Mississippi Medical Center, Inc. Past Accepting new patients
North Mississippi Medcial Center, Inc. Past Accepting new patients
North Mississippi Medical Center, Inc. Past Accepting new patients
North Mississippi Medical Center, Inc. Past Accepting new patients

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

  • Direct secure messaging: 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.

View all 31

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.