Kellie Jean Johnson, NP-C
NPI 1891668679ActiveIndividual· Nurse Practitioner· Nixa, MO
Nurse Practitioner (NP-C) in Nixa, Missouri, licensed in MO, with an NPI issued in September 2025.
Overview
| NPI | 1891668679 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP-C |
| Sole proprietor | Yes |
| NPI issued | Sep 26, 2025 |
| Last updated in NPPES | Sep 26, 2025 |
| Certified by provider | Sep 26, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 2025026813 | MO |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner providers in Nixa
- 1265395958
- 1225645393
- 1134156805