Kelly Marlene Johnson, APRN NP-C
NPI 1700345345ActiveIndividual· Nurse Practitioner· Guthrie, OK
Nurse Practitioner (APRN NP-C) with Ennoble Hc Nj PC and 1 other group, practicing in Guthrie, Oklahoma. Their prescriptions cost Medicare Part D more than their services did: $422,465 for 4,745 claims, against $73,261 paid for services in 2024.
Overview
| NPI | 1700345345 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN NP-C |
| Sole proprietor | Yes |
| NPI issued | Mar 13, 2019 |
| Last updated in NPPES | Sep 14, 2025 |
| Certified by provider | Sep 14, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 101147 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (OK) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 167 |
|---|---|
| Services billed | 1,232 across 24 procedure codes |
| Paid by Medicare | $73,261 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,745 · 6,311 30-day fills |
|---|---|
| Patients | 276 |
| Total drug cost | $422,465 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Ennoble Hc Nj PCPhiladelphia, PA · 133 clinicians
- Nr Stillwater LLCStillwater, OK · 3 clinicians
Other facilities
- Angels Care Home Health of East OklahomaHome health agency · Broken Arrow, OK
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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