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

Keri Johnson

Individual provider Family Nurse Practitioner · NPI 1902256019

Keri Johnson is a Nurse Practitioner in Nampa, Idaho. Qualified in 2016, 10 years ago. Practices with Gary Gregerson MD PA, a 10-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
10
Licensed in
ID
In the registry since
2016
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Practice location Address checks out

207 1st St S
Nampa, ID 83651-3703
Phone: (208) 466-7869
Fax: (208) 466-5359
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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 CNP-53376 (ID)

Record details

NPI number1902256019
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 20, 2016
Last updated in NPPESJune 20, 2016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Gary Gregerson Md Pa — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Nampa