Individual provider Active NPI

Lisa Lynn Johnson, APRN

  • Family Nurse Practitioner
  • Emporia, KS
National Provider Identifier
1043652217
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
76144 Issued in KS
Practice address
1201 W 12TH Ave
Emporia, KS 66801-2504
Phone
(620) 343-6800
Fax
(620) 341-7821
NPI assigned
Jul 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 76144 KS Primary

Addresses

Primary practice location

1201 W 12TH Ave
Emporia, KS 66801-2504

Mailing address

2600 Ottawa Rd
P.O. Box 360
Neodesha, KS 66757-1897
Phone (620) 325-2611

Other practice location 1

2600 Ottawa Rd
Neodesha, KS 66757-1897
Phone (620) 325-2611

Other practice location 2

1301 W 12th Ave Ste 110
Emporia, KS 66801-2587
Phone (620) 343-7828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20131024000142 KS Practitioner - Nurse Practitioner 1153556352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1201 W 12TH Ave
Emporia, KS 66801-2504

16120 S Matt CT
Olathe, KS 66062-9619

2600 Ottawa Rd
101 PO Box 345
Neodesha, KS 66757-0345

2600 Ottawa Rd
Suite 101
Neodesha, KS 66757-1897

3825 N Lafayette St
Denver, CO 80205-3316

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Newman Memorial County Hospital Current Accepting new patients
Newman Memorial County Hospital Past Accepting new patients

Locations

1201 W 12th Ave
Emporia, KS 66801
Phone (620) 343-2376

Interoperability endpoints

  • Direct secure messaging: lisa.johnson.1@13869.direct.athenahealth.com

Organizations & group practices 2

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

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1375056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1043652217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 OTTAWA RD",
            "address_2": "P.O. BOX 360",
            "city": "NEODESHA",
            "state": "KS",
            "postal_code": "667571897",
            "telephone_number": "620-325-2611",
            "fax_number": "620-325-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W 12TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668012504",
            "telephone_number": "620-343-6800",
            "fax_number": "620-341-7821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Ottawa Rd",
            "address_purpose": "LOCATION",
            "city": "Neodesha",
            "state": "KS",
            "postal_code": "667571897",
            "country_code": "US",
            "telephone_number": "620-325-2611",
            "fax_number": "620-325-8460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 W 12th Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Emporia",
            "state": "KS",
            "postal_code": "668012587",
            "country_code": "US",
            "telephone_number": "620-343-7828",
            "fax_number": "620-341-9505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LISA",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-29",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "76144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emporia, KS

Sources for this page

Verify at the official NPI Registry.