Sharon A Johnson, FNP
Individual provider Active NPI Family Nurse Practitioner · Rensselaer, IN
NPI 1104951409 · NPPES record last updated Oct 31, 2025
Key facts
- NPI
- 1104951409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71001610A (IN)
- Practice address
- 124 W Washington St
Rensselaer, IN 47978-2820 - Phone
- (219) 866-4135
- Fax
- (219) 866-0803
- NPI assigned
- Feb 23, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sharon a Johnson FNP LLC
Practice addresses (Care Compare)
124 W Washington St
Rensselaer, IN 47978-2820
Phone (219) 866-4135
Hospital & facility affiliations
- Elara Caring
- Franciscan Health Rensselaer, Inc
- Franciscan Health Crown Point
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040105000850 | IN | Practitioner - Nurse Practitioner | 9335048743 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71001610A | IN | Yes |
Addresses
Primary practice location
124 W Washington St
Rensselaer, IN 47978-2820
Mailing address
124 W Washington St
Rensselaer, IN 47978-2820
Phone (219) 866-4135
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IN4145 | Medicaid | IN |
Other providers in Rensselaer, IN
- Jasper County Hospital
- Jasper County Hospital
- Jasper County Hospital
- Stephen Layne Jennings
- Rachel L Johnson
- Jordan J Balvich, DMD, PC
- Julian Ungar-Sargon MD PHD
- Keeney Ambulance & Transport Service LLC
- Karen Sue Ketchem
- Kim Moyer OD PC
All providers in Rensselaer, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.