Active NPI 1699928655 Individual Practitioner Female Practitioner

Kimeshia Nicole Johnson , FNP-C

Nurse Practitioner • Tyler, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kimeshia Johnson, FNP-C is a certified Nurse Practitioner practicing in Tyler, TX. With approximately 18 years of clinical experience since completing medical education in 2008, Kimeshia Johnson delivers high-quality medical care to the local community at 5414 S BROADWAY AVE.

Kimeshia Johnson maintains professional affiliations with Willow Wellness Center, P.A., Mother Frances Hospital Regional Health Care Center, Christus Trinity Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5414 S Broadway Ave

Tyler, TX 757031335

Telephone 9035811601

Fax 9035811638

Associated Practice Facility / Clinic

🏢 Mother Frances Hospital Facility NPI 1649226879

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Tyler, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs +8.3 yrs vs City Avg

City Avg: 9.7 Yrs

State Avg: 9.7 Yrs

Regional Practice Density

148 Specialists

Practicing in Tyler, TX (4894 Statewide)

Telehealth Adoption Rate

11.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

85.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (18 Years) 18 Yrs

Tyler Specialty Average (9.7 Years) 9.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$495.83	$74.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	22	22	$515.00	$73.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	57	57	$487.72	$72.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	270	264	$356.36	$67.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$395.57	$83.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$190.06	$35.52
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	11	11	$258.00	$73.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	55	53	$405.47	$62.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	28	$252.30	$89.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	78	75	$410.08	$58.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	47	$320.63	$86.81
G0008 Administration of influenza virus vaccine	16	16	$30.00	$15.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$493.87	$87.55
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	15	15	$25.00	$17.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$110.45	$36.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$555.64	$131.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	93	$378.18	$87.13
99213 Established patient office or other outpatient visit, typically 15 minutes	37	37	$388.35	$58.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$586.91	$129.12
93000 Routine ekg using at least 12 leads including interpretation and report	15	15	$58.47	$13.72
99497 Advance care planning, first 30 minutes	14	14	$95.00	$70.01
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	13	13	$45.00	$21.25
G0442 Annual alcohol misuse screening, 5 to 15 minutes	12	12	$25.00	$14.92
94010 Test to measure expiratory airflow and volume	12	12	$46.25	$29.08
94375 Diagnostic testing in a pulmonary function lab	12	12	$45.00	$32.41
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$140.00	$95.47
G0008 Administration of influenza virus vaccine	11	11	$30.00	$19.51
90756 Vaccine for influenza for injection into muscle	11	11	$25.00	$22.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	88	$483.23	$85.47
99213 Established patient office or other outpatient visit, typically 15 minutes	64	62	$351.47	$57.36
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	21	20	$23.81	$16.98
G0008 Administration of influenza virus vaccine	21	20	$28.57	$23.03
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$240.06	$117.44
99497 Advance care planning, first 30 minutes	13	13	$95.00	$67.44
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$140.00	$93.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$546.55	$126.88

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX 679053

(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.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License TX 679053

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

323946901 (TX)

Medicaid State Provider ID

323946902 (TX)

Commercial Insurance / Payer ID Rail Road

P01304442 (TX)

Commercial Insurance / Payer ID Bcbs Blue

0031BV (TX)

Commercial Insurance / Payer ID Tricare

75-2616977-001 (TX)

Commercial Insurance / Payer ID Bcbs Blue

00T71U (TX)

Commercial Insurance / Payer ID Tricare

75-2616977-002 (TX)

Commercial Insurance / Payer ID Tricare

75-2616977-028 (TX)

Commercial Insurance / Payer ID Tricare

75-0818167-022 (TX)

Commercial Insurance / Payer ID Rail Road

P01246227 (TX)

Hospital & Practice Group Affiliations

Mother Frances Hospital Regional Health Care Center

5414 S Broadway Ave, Tyler, TX 757031335

Phone: 9035315010

Mother Frances Hospital Regional Health Care Center

800 E Dawson St, Tyler, TX 757012036

Mother Frances Hospital Regional Health Care Center

800 E Dawson St, Tyler, TX 757012036

Phone: 9035314888

Willow Wellness Center, P.a.

820 E Front St, Tyler, TX 757028326

Phone: 9035960602

Christus Trinity Clinic

630 S Fleishel Ave, Tyler, TX 757012041

Phone: 9036065560

Christus Trinity Clinic

620 S Fleishel Ave, Tyler, TX 757012041

Phone: 9036064900

Christus Trinity Clinic

3593 E Grande Blvd, Tyler, TX 757071400

Phone: 9038392585

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners

Jeremy Troyer , FNP

Nurse Practitioner

NPI 1013483361

Family Nurse Practitioner

Dr. Michelle Parker , MD

Emergency Medicine

NPI 1093153645

Doctor of Medicine (M.D.)

Dr. Deborah Boyd , DO

Family Medicine

NPI 1205875929

Doctor of Osteopathic Medicine (D.O.)

Maryellen Smith , PA

Physician Assistant

NPI 1275648834

Physician Assistant

Cynthia Shepherd , PA-C

Physician Assistant

NPI 1346349297

Physician Assistant (Certified)

Scott Stegall , PA-C

Physician Assistant - Medical

NPI 1356323034

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 13, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location October 13, 2014

Registered at 5414 S BROADWAY AVE, TYLER, TX 757031335 (Tel: 9035811601)

📍

Updated Business Mailing Address October 13, 2014

Registered at PO BOX 841656, DALLAS, TX 752841656 (Tel: 9035315000)

👤

Provider Name / Credentials Updated October 13, 2014

Recorded as KIMESHIA JOHNSON, FNP-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2014

Nurse Practitioner (License #679053 in TX)

🟢

Initial NPI Registration & Enumeration November 03, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Kimeshia Johnson. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1699928655

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 03, 2008

Last Update: October 13, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 841656

Dallas, TX 752841656

Phone: 9035315000

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.