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

Kesila Johnson

Individual provider Family Nurse Practitioner · NPI 1366023863

Kesila Johnson is a Nurse Practitioner in Tyler, Texas. Qualified in 2022, 4 years ago. Practices with Texas Oncology PA, a 1,005-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
4
Licensed in
TX
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

501 Saunders Ave Ste 300
Tyler, TX 75702-7524
Phone: (903) 592-9800
Fax: (903) 592-5988
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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 1180522 (TX)
Registered Nurse Taxonomy 163W00000X · Licence 895764 (TX)

Record details

NPI number1366023863
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 16, 2021
Last updated in NPPESFebruary 13, 2026
Certification dateFebruary 13, 2026
Mailing addressPo Box 911230, Dallas, TX 75391-1230

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Texas Oncology Pa — 1005 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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