Carol Colene Johnson, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

210538 Issued in OK

Practice address

701 Cedar Lake Blvd Ste 120
Oklahoma City, OK 73114-7815

Phone

(405) 445-1210

NPI assigned

Nov 8, 2022

Last updated

Nov 8, 2022By 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

Medicare fee-for-service enrollment

Enrolled in OK, TX2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Creek Nation Hospital and ClinicsGroup PAC ID 5698786226, 364 clinicians

Williams Medical Group Practice, LLCGroup PAC ID 3375832157, 212 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Creek Nation Community Hospital Hospital, Okemah, OK, CCN 371333
• Muscogee (Creek) Nation Medical Center Hospital, Okmulgee, OK, CCN 370057

Merit-based Incentive Payment System (MIPS)

Final score

85.12 of 100Reported as group

Quality

83.76

Promoting interoperability

100

Improvement activities

40

Cost

56.64

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cjohnson22151@muscogeecreeknation.direct-ci.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.

• Creek Nation Hospital & Clinics

  dba Creek Nation Community Hospital

  • Family Medicine Physician
  • Okemah, OK
  • NPI 1467053173

  TX

  Medicare reassignment Care Compare group NPD
• Williams Medical Group Practice, LLC

  dba Integrity Urgent Care

  • Family Medicine Physician
  • Lawton, OK
  • NPI 1346608809
  Medicare reassignment Care Compare group NPD
• Creek Nation Hospital & Clinics

  dba Creek Nation Health System

  • Clinic/Center
  • Muskogee, OK
  • NPI 1366593923
  Medicare reassignment NPD
• Creek Nation Hospital & Clinics

  dba Muscogee (Creek) Nation Medical Center

  • General Acute Care Hospital
  • Okmulgee, OK
  • NPI 1033511480
  NPD
• Creek Nation Hospital & Clinics

  dba Muscogee Healing and Recovery Center

  • Clinic/Center
  • Muskogee, OK
  • NPI 1922873611
  NPD
• Williams Medical Group Practice, LLC

  dba Integrity Urgent Care

  • Rural Health Clinic/Center
  • Collinsville, OK
  • NPI 1215751508
  NPD
• Creek Nation Hospital and Clinics Board

  • General Acute Care Hospital
  • Okemah, OK
  • NPI 1689727588
  NPD (past)

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

• Creek Nation Hospital & Clinics

  dba Muscogee (Creek) Nation Long Term Acute Care Hospital

  • Long Term Care Hospital
  • Okmulgee, OK
  • NPI 1376979955
  Care Compare affiliation
• Creek Nation Hospital & Clinics

  dba Muscogee (Creek) Nation Medical Center

  • General Acute Care Hospital
  • Okmulgee, OK
  • NPI 1902236573
  Care Compare affiliation

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1093423030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7780 NS 3570 RD",
            "city": "PRAGUE",
            "state": "OK",
            "postal_code": "748649238",
            "telephone_number": "203-561-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 CEDAR LAKE BLVD STE 120",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731147815",
            "telephone_number": "405-445-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CAROL",
        "middle_name": "COLENE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-08",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "210538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon A Johnson
• Brian Douglas Johnson, M.D.
• Brian L. Johnson, MA, LPC
• Brittany Johnson, PT, DPT
• Brookelyn Annette Johnson, PA-C
• Carroll Louise Johnson, ATC/L
• Casey Johnson
• Cassie Lynn Johnson, APRN-CNP
• Cedrick Johnson
• Cicely Rochelle Johnson

• Family Nurse Practitioner in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.