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

Mrs. Kelsey R Johnson, RN

Individual provider Registered Nurse · NPI 1235926007

Mrs. Kelsey R Johnson, RN is a Nurse Practitioner in Fairbanks, Alaska. Qualified in 2025, 1 year ago. Practices with Tanana Valley Clinic LLC, a 142-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
1
Licensed in
AK
In the registry since
2025
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

1650 Cowles St
Fairbanks, AK 99701-5907
Phone: (907) 458-5250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2310 Peger Rd, Fairbanks, AK 99709-5305 — (907) 322-7928

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 239198 (AK)
Registered Nurse Taxonomy 163W00000X · Licence 129303 (AK)

Record details

NPI number1235926007
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedApril 23, 2025
Last updated in NPPESJuly 29, 2025
Certification dateJuly 29, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Tanana Valley Clinic Llc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Fairbanks