Adrianne Marie Warren Johnson, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3015076 Issued in KY

Practice address

826 Ky 11 N
Booneville, KY 41314-9155

Phone

(606) 593-6395

Fax

(606) 593-5916

NPI assigned

May 7, 2021

Last updated

Sep 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

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.Group PAC ID 4486616141, 60 clinicians

Mountain Comprehensive Health CorporationGroup PAC ID 7618875873, 82 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• AdventHealthManchester Hospital, Manchester, KY, CCN 180043

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: adrianne.johnson.p1@direct.mtncomp.nextgenshare.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.

• Memorial Hospital, Inc.

  dba Physician Services of Memorial Hospital

  • Specialist
  • Manchester, KY
  • NPI 1831150119

  Family

  Medicare reassignment Care Compare group NPD
• Mountain Comprehensive Health Corporation

  • Primary Care Clinic/Center
  • Whitesburg, KY
  • NPI 1417900242
  Medicare reassignment Care Compare group NPD
• Memorial Hospital Inc.

  dba AdventHealth Manchester

  • Rural Health Clinic/Center
  • Manchester, KY
  • NPI 1255471827

  Family

  NPD
• Mountain Comprehensive Health Corporation

  • Primary Care Clinic/Center
  • Booneville, KY
  • NPI 1043257827
  NPD
• Mountain Comprehensive Health Corporation

  dba Elkhorn City Optometry Clinic

  • Primary Care Clinic/Center
  • Elkhorn City, KY
  • NPI 1215818414
  NPD
• Mountain Comprehensive Health Corporation

  • Primary Care Clinic/Center
  • Buckhorn, KY
  • NPI 1225082985
  NPD

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

• Memorial Hospital, Inc.

  dba Adventhealth Manchester

  • Rural Acute Care Hospital
  • Manchester, KY
  • NPI 1811922347
  Care Compare affiliation

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1154905008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 PIERSON ROAD",
            "city": "BOONEVILLE",
            "state": "KY",
            "postal_code": "41314",
            "telephone_number": "513-748-9948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 KY 11 N",
            "city": "BOONEVILLE",
            "state": "KY",
            "postal_code": "413149155",
            "telephone_number": "606-593-6395",
            "fax_number": "606-593-5916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 Madison Sq",
            "address_purpose": "LOCATION",
            "city": "London",
            "state": "KY",
            "postal_code": "407411152",
            "country_code": "US",
            "telephone_number": "606-330-0002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ADRIANNE",
        "middle_name": "MARIE WARREN",
        "name_prefix": "Dr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-07",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "KY",
            "license": "3015076",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3015076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnna Leigh Gay, PMHNP
• Megan Gross
• Luvena Hensley, APRN, FNP-C,PMHNP-BC
• In House Primary Care Services PLLC
• Jackson Physician Corp (Booneville Medical Clinic)
• Jordan Drug, Inc. (Owsley Prescription Center)
• Juniper Health Inc (Juniper Health Highland-Turner Elementary)
• Kentucky River District Health Department (Owsley County High School)
• Kentucky River District Health Department (Owsley County Board of Education)
• Kentucky River District Health Department (Owsley County Elementary School)

• Family Nurse Practitioner in Booneville, KY
• Providers in Booneville, KY by specialty
• Family Nurse Practitioner in Kentucky

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