Active NPI
Julie Lynn Johnson, APRN
- Nurse Practitioner
- Douglas, WY
National Provider Identifier
1154912012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 47187
- Practice address
- 111 S 5TH St
Douglas, WY 82633-2434 - Phone
- (307) 258-6719
- NPI assigned
- Feb 2, 2021
- Sex
- Female
- Sole proprietor
- No
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.
-
- Medicare Defined Swing Bed Hospital Unit
- Douglas, WY
- NPI 1285643221
-
- Rural Health Clinic/Center
- Glenrock, WY
- NPI 1679582357
-
- Rural Health Clinic/Center
- Guernsey, WY
- NPI 1871503375
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Casper, WY
- NPI 1336652452
-
- Home Health Agency
- Casper, WY
- NPI 1619560471
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memorial Hospital of Converse County
Practice addresses (Care Compare)
700 E Ctr St
Douglas, WY 82633-2446
Phone (307) 358-7300
Hospital & facility affiliations
- Enhabit Home Health
- Casper Home Health LLC
- Memorial Hospital of Converse County
- Platte County Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210410000048 | WY | Practitioner - Nurse Practitioner | 4688082753 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47187 | WY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital of Converse County | Current | Accepting new patients | |
| Memorial Hospital of Converse County | Current | Accepting new patients |
Locations
111 S 5th St
Douglas, WY 82633
Phone (307) 358-6200
700 E Center St
Douglas, WY 82633
Phone (307) 352-8946
Interoperability endpoints
- jujohnson@direct.mhccwyo.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 47187 | WY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
111 S 5TH St
Douglas, WY 82633-2434
Mailing address
25 Bridger TRL
Douglas, WY 82633-9562
Phone (307) 258-6719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 2, 2021.
{
"created_epoch": "1612224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612224000000",
"number": "1154912012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 BRIDGER TRL",
"city": "DOUGLAS",
"state": "WY",
"postal_code": "826339562",
"telephone_number": "307-258-6719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S 5TH ST",
"city": "DOUGLAS",
"state": "WY",
"postal_code": "826332434",
"telephone_number": "307-258-6719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JULIE",
"middle_name": "LYNN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-02",
"last_updated": "2021-02-02",
"certification_date": "2021-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WY",
"license": "47187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Douglas, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.