Individual provider Active NPI

Camika Johnson, APRN, FNP-C

  • Family Nurse Practitioner
  • Camden, AR
National Provider Identifier
1134685209
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A006103 Issued in AR
Practice address
476 Hospital Dr Ste 1
Camden, AR 71701-4652
Phone
(870) 836-5738
Fax
(870) 836-5978
NPI assigned
Feb 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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 A006103 AR Primary

Addresses

Primary practice location

476 Hospital Dr Ste 1
Camden, AR 71701-4652

Mailing address

476 Hospital Dr Ste 1
Camden, AR 71701-4652
Phone (870) 836-5738

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20190716000729 AR Practitioner - Nurse Practitioner 5496080210 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ouachita Physician ServicesGroup PAC ID 1052570132, 2 clinicians

Practice addresses (Care Compare)

476 Hospital Dr
Camden, AR 71701-4616
Phone (870) 836-8221

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ouachita County Medical Center CurrentSince Mar 31, 2020 Accepting new patients
Ouachita Physician Services, LLC CurrentSince May 31, 2019 Accepting new patients
Ouachita County Medical Center CurrentSince Mar 31, 2020 Accepting new patients
Ouachita Physician Services CurrentSince May 31, 2019 Accepting new patients
Ouachita County Medical Center Current Accepting new patients

Locations

476 Hospital Dr
Ste 3
Camden, AR 71701

476 Hospital Dr
Camden, AR 71701
Phone (870) 800-9002

476 Hospital Dr
Ste 1
Camden, AR 71701
Phone (870) 836-5738

638 California Ave SW
East Camden, AR 71701
Phone (870) 836-1000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FJCAED/Endpoint/FJCAED

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1134685209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 HOSPITAL DR STE 1",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717014652",
            "telephone_number": "870-836-5738",
            "fax_number": "870-836-5978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 HOSPITAL DR STE 1",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717014652",
            "telephone_number": "870-836-5738",
            "fax_number": "870-836-5978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CAMIKA",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-14",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A006103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, AR

Sources for this page

Verify at the official NPI Registry.