Tyler Keith Johnson, APRN
NPI 1912748880ActiveIndividual· Nurse Practitioner, Acute Care· Waco, TX
Nurse Practitioner, Acute Care (APRN) with Legacy Urgent Care PA and 1 other group, practicing in Waco, Texas. 33 Medicare patients in 2024, $3,137 paid; nearly all of their 56 Part D prescriptions were generic (95%). Angiodynamics, Inc. reported $74.65 in payments in 2025, mostly food and beverage. Lists Ascension Providence as a hospital affiliation.
Overview
| NPI | 1912748880 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | No |
| NPI issued | Jun 4, 2024 |
| Last updated in NPPES | Jun 4, 2024 |
| Certified by provider | Apr 28, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Acute Care Primary | 363LA2100X | 1165582 | TX |
| Nurse Practitioner, Family | 363LF0000X | 1165582 | TX |
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 (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 33 |
|---|---|
| Services billed | 41 across 11 procedure codes |
| Paid by Medicare | $3,137 |
Part D prescriptions in 2024
| Prescriptions (claims) | 56 · 56 30-day fills |
|---|---|
| Patients | 39 |
| Total drug cost | $809.45 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Legacy Urgent Care PAFrisco, TX · 159 clinicians
- Providence Health AllianceWaco, TX · 118 clinicians
Hospital affiliation
- Ascension ProvidenceWaco, TX
Industry payments (Open Payments)
- 2025$74.65 · 4 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Angiodynamics, Inc. | $74.65 | 4 |
What the 2025 payments were for
- Food and Beverage$74.65 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other acute care nurse practitioners in Waco
- 1548633852
- 1578796348
- 1699309393
- 1972527257
- 1154032480
- 1528376480
- 1851798805
- 1285962688
- 1366276594
- 1780265827
- 1437730561
- 1811665060
All 17 acute care nurse practitioners in Waco · All acute care nurse practitioners in Texas