Nikki Shannon Johnston, APRN, FNP-BC
NPI 1528593472ActiveIndividual· Nurse Practitioner· Paris, TX
Nurse Practitioner (APRN, FNP-BC) with Tyler Nephrology Associates PA, practicing in Paris, Texas. Their prescriptions cost Medicare Part D more than their services did: $429,769 for 1,245 claims, against $41,062 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 11 companies reporting payments in 2025, $357.32 in all, mostly food and beverage. Lists Christus Mother Frances Hospital and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1528593472 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN, FNP-BC |
| Sole proprietor | No |
| NPI issued | Apr 28, 2017 |
| Last updated in NPPES | May 4, 2023 |
| Certified by provider | May 4, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | AP133984 | TX |
| Nurse Practitioner | 363L00000X | 80235 | OK |
| Nurse Practitioner, Family | 363LF0000X | AP133984 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (OK); Practitioner - Nurse Practitioner (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 433 |
|---|---|
| Services billed | 565 across 16 procedure codes |
| Paid by Medicare | $41,062 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,245 · 2,193 30-day fills |
|---|---|
| Patients | 387 |
| Total drug cost | $429,769 |
| Generic share | 78% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Tyler Nephrology Associates PATyler, TX · 27 clinicians
Hospital affiliations
- Christus Mother Frances HospitalTyler, TX
- Christus Mother Frances Hospital Sulphur SpringsSulphur Springs, TX
- Christus Mother Frances Hospital- WinnsboroWinnsboro, TX
- McCurtain Memorial HospitalIdabel, OK
- Paris Regional Medical CenterParis, TX
Industry payments (Open Payments)
- 2025$357.32 · 20 payments from 11 companies
- 2024$271.86 · 15 payments from 7 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $69.32 | 4 |
| Mallinckrodt Hospital Products Inc. | $50.92 | 2 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $43.86 | 3 |
| Novo Nordisk Inc | $41.84 | 2 |
| Fresenius USA Marketing, Inc. | $32.82 | 2 |
What the 2025 payments were for
- Food and Beverage$342.95 · 19 payments
- Education$14.37 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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