Kristin M Johnson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

28150798A Issued in IN

Practice address

211 US Highway 66 E
Tell City, IN 47586-2757

Phone

(812) 979-2136

NPI assigned

Sep 4, 2012

Last updated

Aug 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tell City ClinicGroup PAC ID 0648275255, 12 clinicians

Perry County Memorial HospitalGroup PAC ID 6901871276, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Perry County Memorial Hospital Hospital, Tell City, IN, CCN 151322

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kristin.johnson.1@7598.direct.athenahealth.com
• Direct secure messaging: kristin.johnson.2@7598.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Perry County Memorial Hospital

  dba PCMH Provider Clinics

  • General Practice Physician
  • Tell City, IN
  • NPI 1629621396
  Medicare reassignment Care Compare group
• Fast Pace Medical Clinic PLLC

  • Family Medicine Physician
  • Hanover, IN
  • NPI 1649770769
  Medicare reassignment NPD
• Perry County Memorial Hospital

  dba Main Street Clinic

  • Nurse Practitioner
  • Tell City, IN
  • NPI 1740151489
  NPD
• Perry County Memorial Hospital

  dba PCMH Outpatient Clinic

  • Rheumatology Physician
  • Tell City, IN
  • NPI 1902602501
  NPD
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Chapel Hill, TN
  • NPI 1316602774
  NPD
• Rick Crawford MD

  • Family Medicine Physician
  • Evansville, IN
  • NPI 1023459880
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Perry County Memorial Hospital

  • Ambulance
  • Tell City, IN
  • NPI 1356309777

  Hospital

  Care Compare affiliation
• Perry County Memorial Hospital

  • Critical Access Hospital
  • Tell City, IN
  • NPI 1699779017
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1003165275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306417",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306417",
            "telephone_number": "931-253-1110",
            "fax_number": "812-429-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 US HIGHWAY 66 E",
            "city": "TELL CITY",
            "state": "IN",
            "postal_code": "475862757",
            "telephone_number": "812-979-2136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1202 W Buena Vista Rd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477105191",
            "country_code": "US",
            "telephone_number": "812-429-1520",
            "fax_number": "812-429-1523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KRISTIN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-04",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28150798A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100246550A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emili Ann Hilgenhold, DDS
• Hook-Superx LLC (CVS Pharmacy #06260)
• Samantha Hubert
• Melissa R James, PHYSICAL THERAPIST
• Susan Jefford, LCSW
• Andrea Joseph, RBT
• Kayleigh Kast, LPN, CLC
• Haley Kaufman, PMHNP-BC
• Eddie P Kemper, MD
• Heather R Kirchoff, PT

• Family Nurse Practitioner in Tell City, IN
• Providers in Tell City, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.