Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891668679 Individual Practitioner Female Practitioner

Kellie Jean Johnson , NP-C

Nurse Practitioner • Nixa, MO

Professional Overview & Biography Verified Profile Summary

Kellie Johnson, NP-C is a registered healthcare professional specializing in Nurse Practitioner in Nixa, MO. Practice services are available at 1673 W COUNTRY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1673 W Country Rd

Nixa, MO 657147971

Telephone 4174391900

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Nixa, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.5 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
4 Specialists

Practicing in Nixa, MO (1750 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-09-26
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MO 2025026813

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 26, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location September 26, 2025

Registered at 1673 W COUNTRY RD, NIXA, MO 657147971 (Tel: 4174391900)

📍
Updated Business Mailing Address September 26, 2025

Registered at 1673 W COUNTRY RD, NIXA, MO 657147971 (Tel: 4174391900)

👤
Provider Name / Credentials Updated September 26, 2025

Recorded as KELLIE JOHNSON, NP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2025

Nurse Practitioner (License #2025026813 in MO)

🟢
Initial NPI Registration & Enumeration September 26, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891668679
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2025
Last Update: September 26, 2025
Sole Proprietor: Yes

Mailing Address

1673 W Country Rd

Nixa, MO 657147971

Phone: 4174391900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.