Ms Krista Marie Johnson, CNM, APRN - Medicare Nurse Practitioner in Fairbanks, AK

Ms Krista Marie Johnson, CNM, APRN is a medicare enrolled "Nurse Practitioner - Obstetrics & Gynecology" in Fairbanks, Alaska. Her current practice location is 2054 30th Ave, Fairbanks, Alaska. You can reach out to her office (for appointments etc.) via phone at (907) 456-3719.

Ms Krista Marie Johnson is licensed to practice in Alaska (license number 191560) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1033855416.

Contact Information

Ms Krista Marie Johnson, CNM, APRN
2054 30th Ave,
Fairbanks, AK 99701-7316
(907) 456-3719
(907) 456-1511



Provider's Profile

Full NameMs Krista Marie Johnson
GenderFemale
SpecialityNurse Practitioner - Obstetrics & Gynecology
Location2054 30th Ave, Fairbanks, Alaska
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033855416
  • Provider Enumeration Date: 05/09/2022
  • Last Update Date: 05/09/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7214300474
  • Enrollment ID: I20230308003269

Medical Identifiers

Medical identifiers for Ms Krista Marie Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033855416NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LX0001XNurse Practitioner - Obstetrics & Gynecology 191560 (Alaska)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Krista Marie Johnson allows following entities to bill medicare on her behalf.
Entity NameVia Vita Health Project Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952572927
PECOS PAC ID: 5597757112
Enrollment ID: O20040401001314

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Krista Marie Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Krista Marie Johnson, CNM, APRN
2054 30th Ave,
Fairbanks, AK 99701-7316

Ph: (907) 456-3719
Ms Krista Marie Johnson, CNM, APRN
2054 30th Ave,
Fairbanks, AK 99701-7316

Ph: (907) 456-3719

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Nurse Practitioner Nurses in Fairbanks, AK

Mrs. Kelly Kay Binkowski, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1626 30th Ave, Fairbanks, AK 99701
Phone: 907-479-7701    
Janice L Stables, MSN, ANP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1867 Airport Way, Ste 110b, Fairbanks, AK 99701
Phone: 907-452-6330    Fax: 907-452-6335
Anne Marie Lilley, RN, MSN, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1275 Sadler Way, #101, Fairbanks, AK 99701
Phone: 907-361-6370    Fax: 907-361-6372
Susana Donofry, DNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 565 University Ave Ste 1, Fairbanks, AK 99709
Phone: 215-704-1238    
Alyce Lynne Weckwerth, ANP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3100 S Cushman St, Fairbanks, AK 99701
Phone: 907-452-6251    Fax: 907-451-6251
Mrs. Shannon Kay Rhoton, MSN, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1919 Lathrop St, Suite 217, Fairbanks, AK 99701
Phone: 907-456-8191    Fax: 907-456-8192

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