Individual provider Active NPI

Lauren Johnson, FNP

  • Family Nurse Practitioner
  • Fishers, IN
National Provider Identifier
1235897604
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95019077 Issued in CA
Practice address
10552 Milton CT
Fishers, IN 46040-9405
Phone
(317) 600-8740
NPI assigned
Dec 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 95019077 CA Primary

Addresses

Primary practice location

10552 Milton CT
Fishers, IN 46040-9405

Mailing address

10552 Milton CT
Fishers, IN 46040-9405
Phone (317) 600-8740

Other names 1

  • Lauren Montenegro Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20230328001181 IN Practitioner - Nurse Practitioner 1759755093 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10552 Milton CT
Fishers, IN 46040-9405
Phone (463) 319-7560

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95019077CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ivx Health of Indiana PC Single Specialty CurrentSince Mar 23, 2023 Accepting new patients
Aurum Medical Group LLC Single Specialty CurrentSince Jun 17, 2025 Accepting new patients
Jose Gabriel Castellanos, MD, Inc. PastSince Dec 1, 2021 Accepting new patients

Locations

11670 Commercial Dr
Ste 100
Fishers, IN 46038
Phone (317) 210-9005

997 E County Line Rd
Ste M
Greenwood, IN 46143
Phone (317) 577-1990

9510 N Meridian St
Ste D
Indianapolis, IN 46260
Phone (317) 210-9005

Organizations & group practices 3

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": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1235897604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10552 MILTON CT",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460409405",
            "telephone_number": "317-600-8740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10552 MILTON CT",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460409405",
            "telephone_number": "317-600-8740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LAUREN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-02",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95019077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "MONTENEGRO",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.