Adrianne Marie Warren Johnson, APRN
Individual provider Active NPI Family Nurse Practitioner · Booneville, KY
NPI 1154905008 · NPPES record last updated Sep 8, 2022
Key facts
- NPI
- 1154905008
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3015076 (KY)
- Practice address
- 826 Ky 11 N
Booneville, KY 41314-9155 - Phone
- (606) 593-6395
- Fax
- (606) 593-5916
- NPI assigned
- May 7, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 34
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Louisville School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memorial Hospital, Inc.
Mountain Comprehensive Health Corporation
Practice addresses (Care Compare)
56 Marie Langdon Dr
Manchester, KY 40962-6329
Phone (606) 599-4080
826 Ky Hwy 11 N
Booneville, KY 41314
Phone (606) 593-6395
Hospital & facility affiliations
- AdventHealthManchester
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- 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 |
|---|---|---|---|---|
| I20220928003555 | KY | Practitioner - Nurse Practitioner | 9436535465 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3015076 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital Inc. | Family | Current |
Accepting new patients |
| Mountain Comprehensive Health Corporation | Current | Accepting new patients | |
| Mountain Comprehensive Health Corporation | Current |
Accepting new patients | |
| Mountain Comprehensive Health Corporation | Current |
Accepting new patients | |
| Memorial Hospital, Inc. | Family | Current | Accepting new patients |
| Mountain Comprehensive Health Corporation | Current | Accepting new patients |
Locations
826 Ky 11 N
Booneville, KY 41314
Phone (606) 593-6395
72 Buckhorn Clinic Rd
Buckhorn, KY 41721
Phone (606) 398-7141
210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047
Interoperability endpoints
- adrianne.johnson.p1@direct.mtncomp.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Health Nurse Practitioner | 363LX0106X | 3015076 | KY | |
| Family Nurse Practitioner | 363LF0000X | 3015076 | KY | Yes |
Addresses
Primary practice location
826 Ky 11 N
Booneville, KY 41314-9155
Mailing address
1022 Pierson Road
Booneville, KY 41314
Phone (513) 748-9948
Other practice location 1
302 Madison Sq
London, KY 40741-1152
Phone (606) 330-0002
Other providers in Booneville, KY
- Johnna Leigh Gay
- Megan Gross
- Luvena Hensley
- In House Primary Care Services PLLC
- Jackson Physician Corp
- Jordan Drug, Inc.
- Juniper Health Inc
- Kentucky River District Health Department
- Kentucky River District Health Department
- Kentucky River District Health Department
All providers in Booneville, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2022. 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.