Individual provider Active NPI

Alexandrea Lyn Johnson

  • Family Nurse Practitioner
  • Cambridge, OH
National Provider Identifier
1215787601
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
36138 Issued in OH
Practice address
1225 Woodlawn Ave Ste 114
Cambridge, OH 43725-3094
Phone
(255) 518-9740
NPI assigned
Mar 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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 36138 OH Primary

Addresses

Primary practice location

1225 Woodlawn Ave Ste 114
Cambridge, OH 43725-3094

Mailing address

5500 Twin Hills Dr
Zanesville, OH 43701-7381
Phone (740) 297-0765

Other practice location 1

945 Bethesda Dr
Zanesville, OH 43701-0801
Phone (740) 455-4915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240710003706 OH Practitioner - Nurse Practitioner 7911442371 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3606 Maple Ave
Zanesville, OH 43701-1072

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36138OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Group, LLC CurrentSince Sep 11, 2024 Accepting new patients
Quick Med Urgent Care LLC CurrentSince May 1, 2025 Accepting new patients
Genesis Medical Group LLC Family Medicine CurrentSince Sep 11, 2024 Accepting new patients
Medical Home Primary Care Center Family Medicine Current Accepting new patients
Physicians Group of Southeastern Ohio Inc Family Medicine CurrentSince Jun 1, 2024 Accepting new patients

Locations

1225 Woodlawn Ave
Ste 114
Cambridge, OH 43725
Phone (255) 518-9740

3525 Olentangy River Rd
Ste 4330
Columbus, OH 43214
Phone (614) 255-6930

3499 Belmont Ave
Youngstown, OH 44505
Phone (330) 476-2260

945 Bethesda Dr
Zanesville, OH 43701
Phone (740) 454-4044

2564 Maple Ave
Zanesville, OH 43701
Phone (740) 303-2250

945 Bethesda Dr
Ste 330
Zanesville, OH 43701
Phone (740) 454-4038

3620 Court Dr
Ste K
Zanesville, OH 43701
Phone (740) 454-1248

Interoperability endpoints

  • Direct secure messaging: alexandrea.johnson.1@19801.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19801/brand/1/csg/1/fhir/r4
  • Direct secure messaging: alexandrea.johnson.p27@direct.pgseo.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/1576/brand/1/csg/22/fhir/r4

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1215787601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 TWIN HILLS DR",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437017381",
            "telephone_number": "740-297-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 WOODLAWN AVE STE 114",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437253094",
            "telephone_number": "255-518-9740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "945 Bethesda Dr",
            "address_purpose": "LOCATION",
            "city": "Zanesville",
            "state": "OH",
            "postal_code": "437010801",
            "country_code": "US",
            "telephone_number": "740-455-4915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ALEXANDREA",
        "middle_name": "LYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-26",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "36138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, OH

Sources for this page

Verify at the official NPI Registry.