Individual provider Active NPI

Audre N Johnson, NP

  • Family Nurse Practitioner
  • Anderson, IN
National Provider Identifier
1255772430
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71004506A Issued in IN
Practice address
1229 Lincoln St
Anderson, IN 46016-1693
Phone
(765) 313-9850
Fax
(765) 649-9185
NPI assigned
Jul 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 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 71004506A IN Primary

Addresses

Primary practice location

1229 Lincoln St
Anderson, IN 46016-1693

Mailing address

1503 N Mitthoefer Rd
Indianapolis, IN 46229-2425
Phone (317) 934-0750

Other practice location 1

515 N Bradner Ave
Marion, IN 46952-2449
Phone (765) 664-8000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ajohnson1255772430@direct.d4d.ihie.us Health Information Exchange (HIE)

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
I20131115000594 IN Practitioner - Nurse Practitioner 8921234261 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jane Pauley Community Health Center IncGroup PAC ID 7618152729, 77 clinicians
Trina L. Greenwald LLCGroup PAC ID 6901043520, 4 clinicians

Practice addresses (Care Compare)

1210 Medical Arts Blvd
Suite 300
Anderson, IN 46011-3439
Phone (765) 563-2843

515 N Bradner Ave
Serenity Clinic
Marion, IN 46952-2449
Phone (765) 664-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71004506AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Sep 1, 2017 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Sep 1, 2017 Accepting new patients
Trina L. Greenwald LLC CurrentSince Jun 6, 2025 Accepting new patients
A Brighter Future, LLC PastSince Jun 6, 2025 Accepting new patients
Open Door Health Services, Inc. Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

1210 Medical Arts Blvd
Ste 300
Anderson, IN 46011
Phone (765) 298-4550

1424 S Rangeline Rd
Carmel, IN 46032
Phone (317) 571-1176

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

515 N Bradner Ave
Marion, IN 46952
Phone (765) 664-8000

Interoperability endpoints

  • Direct secure messaging: ajohnson1255772430@direct.d4d.ihie.us
  • Direct secure messaging: ajohnson183545@direct.ochin.org

Organizations & group practices 6

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 1

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": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1255772430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 N MITTHOEFER RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462292425",
            "telephone_number": "317-934-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 LINCOLN ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460161693",
            "telephone_number": "765-313-9850",
            "fax_number": "765-649-9185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 N Bradner Ave",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "IN",
            "postal_code": "469522449",
            "country_code": "US",
            "telephone_number": "765-664-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AUDRE",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-16",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71004506A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ajohnson1255772430@direct.d4d.ihie.us",
            "affiliation": "N",
            "endpointDescription": "IHIE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1229 Lincoln St",
            "city": "Anderson",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460161693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

Verify at the official NPI Registry.