Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kayla McCroskey Johnson

Individual provider Family Nurse Practitioner · NPI 1104442250

Kayla McCroskey Johnson is a Nurse Practitioner in Bluefield, Virginia. Qualified in 2019, 7 years ago. Practices with Clinch Professional Physician Services LLC, a 45-clinician group and accepts Medicare assignment. Licensed in Virginia and West Virginia.

Years since qualifying
7
Licensed in
VA, WV
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1934 Leatherwood Ln
Bluefield, VA 24605-2019
Phone: (762) 596-6735
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024179198 (VA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 105609 (WV)

Record details

NPI number1104442250
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 24, 2020
Last updated in NPPESJanuary 26, 2023
Certification dateJanuary 26, 2023
Mailing addressPo Box 247, Boissevain, VA 24606-0247

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Clinch Professional Physician Services Llc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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