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

Kody Johnson, FNP

Individual provider Family Nurse Practitioner · NPI 1710559018

Kody Johnson, FNP is a Nurse Practitioner in Mountain Grove, Missouri. Qualified in 2021, 5 years ago. Practices with Douglas County Public Health Services Group, Inc, a 25-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
5
Licensed in
MO
In the registry since
2021
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1604 C North Main St
Mountain Grove, MO 65704-6570
Phone: (417) 926-1713
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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 2021021292 (MO)

Record details

NPI number1710559018
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedJuly 15, 2021
Last updated in NPPESJuly 15, 2021
Certification dateJune 22, 2021
Mailing addressPo Box 1359, Ava, MO 65608-1359

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Douglas County Public Health Services Group, Inc. — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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