KRISTIN JOHNSEN (APRN) – Family Nurse Practitioner, NPI 1245783554

KRISTIN JOHNSEN (APRN) is a healthcare provider. based in Stanford, Kentucky. specializing in Family Nurse Practitioner. They hold the professional credentials APRN. They hold a License No. 3010603 (KY). The NPI Number for KRISTIN JOHNSEN (APRN) is 1245783554

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
KRISTIN JOHNSEN (APRN)
NPI
1245783554
Phone
(606) 365-8338
Address
107 METKER TRL
Enumeration Date
3 August 2016
Last Update Date
3 August 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8599860375
Graduation Year
2016 (10 years ago)
PAC ID
4284922659
Group Practice PAC ID
6901039197
Professional Enrollment ID
I20161018001718
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

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Provider Addresses for KRISTIN JOHNSEN (APRN)

  • Metker Trail, Stanford, Lincoln County, Kentucky, 40484, United States

    SUITE A

    STANFORD, KY 404841049

    Phone: (606) 365-8338

    Fax: (606) 365-8142

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-10-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161018001718INurse PractitionerKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
U00022019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc2018$0
87804Detection test by immunoassay with direct visual observation for influenza virus1916$0
View full utilization report →

Insurance plans in this area (ZIP 40484)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901039197View full group profile
NameSpecialtyState
Nurse PractitionerKY
-KY
Nurse PractitionerKY
Nurse PractitionerKY
General Practice, Internal Medicine, Addiction MedicineKY
Mental Health CounselorKY
Nurse PractitionerKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

Can I cross-check KRISTIN JOHNSEN (APRN) using NPI 1245783554?
NPI 1245783554 belongs to KRISTIN JOHNSEN (APRN); compare other details if you need extra assurance.
Is KRISTIN JOHNSEN (APRN) still an active registrant?
KRISTIN JOHNSEN (APRN) carries an active NPI according to the public dataset.
What area of care is associated with KRISTIN JOHNSEN (APRN)?
KRISTIN JOHNSEN (APRN)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is KRISTIN JOHNSEN (APRN) located near Stanford?
KRISTIN JOHNSEN (APRN) currently maps to Stanford, Kentucky in this extract.
When was this NPI issued?
Enumeration for KRISTIN JOHNSEN (APRN) is noted as August 3, 2016 where the registry provides it.

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