Kelly A Johnson (NPI# 1255652509, PAC ID# 2466708458) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1255652509 |
| PAC ID by PECOS | 2466708458 |
| Professional Enrollment ID | I20180705001164 |
| Full Name | Kelly A Johnson |
| Organization Legal Name | INTEGRATED CARDIOLOGY GROUP LLC |
| Address |
1600 S 48th St 600 Bryan Heart Lincoln NE 68506-1275 |
| Phone Number | 4024833333 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7911803796 |
| Number of Group Practice Members | 51 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 281363 | COMMUNITY HOSPITAL |
| 280003 | BRYAN MEDICAL CENTER |
| 280032 | MARY LANNING HEALTHCARE |
| Address | Phone | Organization |
|---|---|---|
| 1600 S 48th St, 600 Bryan Heart, Lincoln, NE 68506-1275 | 4024833333 | INTEGRATED CARDIOLOGY GROUP LLC |
| Organization Legal Name | INTEGRATED CARDIOLOGY GROUP LLC |
| Physicians | 49 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andre N Orduna | Physician Assistant | Integrated Cardiology Group LLC | 2222 S 16th St Fl, 7 Select Specialty Hospital, Lincoln, NE 68502-3704 |
| Sara E Hargreaves | Vascular Surgery | Integrated Cardiology Group LLC | 1760 County Rd J, Wahoo, NE 68066-4152 |
| Joseph L Kummer | Cardiovascular Disease (cardiology) | Integrated Cardiology Group LLC | 2910 Betten Dr, Crete, NE 68333-3084 |
| Mathue M Baker | Cardiovascular Disease (cardiology) | Integrated Cardiology Group LLC | 220 Essie Davison Dr, Clarinda Regional Health Center, Clarinda, IA 51632-2915 |
| Matthew B Schaffer | Nurse Practitioner | Integrated Cardiology Group LLC | 2222 S 16th St Fl, 7 Select Specialty Hospital, Lincoln, NE 68502-3704 |
| Clyde R Meckel | Interventional Cardiology | Integrated Cardiology Group LLC | 2910 Betten Dr, Crete, NE 68333-3084 |
| Eric R Sprague | Physician Assistant | Integrated Cardiology Group LLC | 2222 S 16th St Fl, 7 Select Specialty Hospital, Lincoln, NE 68502-3704 |
| Eugenia M Miller | Cardiovascular Disease (cardiology) | Integrated Cardiology Group LLC | 715 N Kansas Ave, 100 Bryan Heart Mary Lanning Cardiology, Hastings, NE 68901-4453 |
| Christopher R Balwanz | Cardiovascular Disease (cardiology) | Integrated Cardiology Group LLC | 1600 S 48th St, 600 Bryan Heart, Lincoln, NE 68506-1275 |
| Garner J Wilson | Physician Assistant | Integrated Cardiology Group LLC | 2222 S 16th St Fl, 7 Select Specialty Hospital, Lincoln, NE 68502-3704 |
| Street Address |
1600 S 48TH ST 600 BRYAN HEART |
| City | LINCOLN |
| State | NE |
| Zip | 68506-1275 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric M Williams | Diagnostic Radiology | Lincoln Radiology Group, P.C. | 1600 S 48th St, Lincoln, NE 68506-1227 |
| Douglas John Winjum | Diagnostic Radiology | Lincoln Radiology Group, P.C. | 1600 S 48th St, Lincoln, NE 68506-1227 |
| Christopher R Balwanz | Cardiovascular Disease (cardiology) | Integrated Cardiology Group LLC | 1600 S 48th St, 600 Bryan Heart, Lincoln, NE 68506-1275 |
| Matthew C Reckmeyer | Orthopedic Surgery | Lincoln Orthopaedic Center PC | 1600 S 48th St, Bryan Medical Center, Lincoln, NE 68506-1299 |
| Jamey D. Wright | Diagnostic Radiology | Lincoln Radiology Group, P.C. | 1600 S 48th St, Lincoln, NE 68506-1227 |
| Donald H Breit Iii | Diagnostic Radiology | Lincoln Radiology Group, P.C. | 1600 S 48th St, Lincoln, NE 68506-1227 |
| Christopher J Darst | Physician Assistant | Integrated Cardiology Group LLC | 1600 S 48th St, Lincoln, NE 68506-1275 |
| Kristen J Harms | Nurse Practitioner | Inpatient Physician Associates, LLC | 1600 S 48th St, Lincoln, NE 68506-1275 |
| Keith A Miller | Cardiovascular Disease (cardiology) | Integrated Cardiology Group LLC | 1600 S 48th St, 600 Bryan Heart, Lincoln, NE 68506-1275 |
| Amy J Schwaderer | Physician Assistant | Lincoln Orthopaedic Center PC | 1600 S 48th St, Bryan Medical Center, Lincoln, NE 68506-1299 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laurel B Van Ham | Psychologist, Clinical | 4150 S St, Lincoln, NE 68506-1152 | |
| Jeffrey E Jarrett | Pulmonary Disease | Nebraska Pulmonary Specialties LLC | 1500 S 48th St, Suite 800, Lincoln, NE 68506-1200 |
| Kevin J Reichmuth | Pulmonary Disease | Nebraska Pulmonary Specialties LLC | 1500 S 48th St, Suite 800, Lincoln, NE 68506-1200 |
| Radu F Neamu | Pulmonary Disease | Nebraska Pulmonary Specialties LLC | 1500 S 48th St, Suite 800, Lincoln, NE 68506-1200 |
| Ali Piper | Pulmonary Disease | Nebraska Pulmonary Specialties LLC | 1500 S 48th St, Suite 800, Lincoln, NE 68506-1200 |
| Erin N Moses | Physician Assistant | Nebraska Pulmonary Specialties LLC | 1500 S 48th St, Suite 800, Lincoln, NE 68506-1200 |
| Sarah R Dolezal | Physician Assistant | Nebraska Pulmonary Specialties LLC | 1500 S 48th St, Suite 800, Lincoln, NE 68506-1200 |
| Ann E Walker | Nurse Practitioner | Nebraska Pulmonary Specialties LLC | 1500 S 48th St, Suite 800, Lincoln, NE 68506-1200 |
| John F Trapp | Pulmonary Disease | Nebraska Pulmonary Specialties LLC | 1500 S 48th St, Suite 800, Lincoln, NE 68506-1200 |
| Jonathan Lee Spencer | Pulmonary Disease | Nebraska Pulmonary Specialties LLC | 1500 S 48th St, Suite 800, Lincoln, NE 68506-1200 |
| Find all physicians in zip 68506 | |||
| City | LINCOLN |
| Zip Code | 68506 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LINCOLN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kelly A Johnson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.