Individual provider Active NPI

Carol Jean Johnson, FNP-C

  • Family Nurse Practitioner
  • New Castle, IN
National Provider Identifier
1245881812
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71009405A Issued in IN
Practice address
1000 N 16TH St Ste 210
New Castle, IN 47362-4319
Phone
(765) 599-3800
Fax
(765) 521-7355
NPI assigned
Sep 25, 2019
Last updated
Aug 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71009405A IN Primary
Urology Physician 208800000X 71009405A IN

Addresses

Primary practice location

1000 N 16TH St Ste 210
New Castle, IN 47362-4319

Mailing address

PO Box 738801
Dallas, TX 75373-8801
Phone (765) 289-7444

Other practice location 1

141 W 22nd St Ste 213
Anderson, IN 46016-4389
Phone (765) 643-0766

Other practice location 2

1210A Medical Arts Blvd Ste 206
Anderson, IN 46011-3437
Phone (765) 298-4090

Other practice location 3

2525 W University Ave Ste 504
Muncie, IN 47303-3409
Phone (765) 289-7444 ext. 112

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
I20200102000532 IN Practitioner - Nurse Practitioner 5294169116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urology Associates LLCGroup PAC ID 5799876678, 6 clinicians
Linke Robotics LLCGroup PAC ID 1254856503, 4 clinicians

Practice addresses (Care Compare)

141 W 22ND St
Suite 213
Anderson, IN 46016-4389
Phone (765) 289-7444

505 New York Ave
New Castle, IN 47362-4912
Phone (765) 289-7444

7920 W Jefferson Blvd
Suite 200
Fort Wayne, IN 46804-4166
Phone (630) 346-1638

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71009405AINMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Associates, LLC Urology CurrentSince Dec 1, 2019 Accepting new patients
Urology Associates, LLC Urology CurrentSince Dec 1, 2019 Accepting new patients

Locations

1210 Medical Arts Blvd
Ste 206
Anderson, IN 46011
Phone (765) 298-4090

141 W 22nd St
Ste 213
Anderson, IN 46016
Phone (317) 643-0766

2525 W University Ave
Ste 504
Muncie, IN 47303
Phone (765) 289-7127

1000 N 16th St
Ste 210
New Castle, IN 47362
Phone (317) 646-8433

505 New York Ave
New Castle, IN 47362
Phone (765) 599-3800

Interoperability endpoints

  • Direct secure messaging: cstephens630370@ecommunitydirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1245881812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 738801",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753738801",
            "telephone_number": "765-289-7444",
            "fax_number": "765-289-8538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N 16TH ST STE 210",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473624319",
            "telephone_number": "765-599-3800",
            "fax_number": "765-521-7355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 W 22nd St Ste 213",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "IN",
            "postal_code": "460164389",
            "country_code": "US",
            "telephone_number": "765-643-0766",
            "fax_number": "765-640-2353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1210A Medical Arts Blvd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "IN",
            "postal_code": "460113437",
            "country_code": "US",
            "telephone_number": "765-298-4090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2525 W University Ave Ste 504",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "473033409",
            "country_code": "US",
            "telephone_number": "765-289-7444 x112",
            "fax_number": "765-289-8538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CAROL",
        "middle_name": "JEAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-25",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71009405A",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IN",
            "license": "71009405A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, IN

Sources for this page

Verify at the official NPI Registry.