Individual provider Active NPI

Johanna Lynn Harris, APRN

  • Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1285157255
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3011519 Issued in KY
Practice address
2944 Breckenridge LN
Louisville, KY 40220-1409
Phone
(502) 893-0159
NPI assigned
Jul 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3011519 KY Primary

Addresses

Primary practice location

2944 Breckenridge LN
Louisville, KY 40220-1409

Mailing address

2944 Breckenridge LN
Louisville, KY 40220-1409
Phone (502) 893-0159

Other practice location 1

401 E Chestnut St Unit 510
Louisville, KY 40202-5710
Phone (502) 588-4800

Other practice location 2

108 W Daisy Ln
New Albany, IN 47150-4537
Phone (502) 893-0159

Other practice location 3

1725 Gagel Ave
Louisville, KY 40216-2763
Phone (502) 893-0159

Other identifiers 2

IdentifierTypeStateIssuer
300007363MedicaidIN
7100487900MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171011003358 KY Practitioner - Nurse Practitioner 8820363138 Reassigns benefits to 1 organization
I20220302000673 IN Practitioner - Nurse Practitioner 8820363138 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

825 Northgate Blvd
Suite 201
New Albany, IN 47150-6421
Phone (812) 542-4921

Hospital & facility affiliations

  • Baptist Health Floyd Hospital, New Albany, IN, CCN 150044
  • Baptist Health Louisville Hospital, Louisville, KY, CCN 180130

Merit-based Incentive Payment System (MIPS)

Final score
91.34 of 100Reported as group
Quality
89.81
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc Nurse Practitioner Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Aug 19, 2017 Accepting new patients
Merit Anesthesia PLLC CurrentSince Feb 18, 2022 Accepting new patients
Baptist Health Medical Group Inc Nurse Practitioner CurrentSince Dec 1, 2023 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Dec 1, 2023 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Aug 19, 2017 Accepting new patients
University of Louisville Physicians, Inc. Nurse Practitioner Current Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

825 Northgate Blvd
Ste 201
New Albany, IN 47150
Phone (812) 206-3201

108 W Daisy Ln
New Albany, IN 47150
Phone (812) 945-3557

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

73 Kingswood Dr
Campbellsvlle, KY 42718
Phone (270) 789-1112

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

401 E Chestnut St
Unit 510
Louisville, KY 40202
Phone (502) 588-4800

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

2944 Breckenridge Ln
Louisville, KY 40220
Phone (502) 995-5525

Organizations & group practices 8

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 2

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": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1285157255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2944 BRECKENRIDGE LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201409",
            "telephone_number": "502-893-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2944 BRECKENRIDGE LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201409",
            "telephone_number": "502-893-0159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 E Chestnut St Unit 510",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402025710",
            "country_code": "US",
            "telephone_number": "502-588-4800",
            "fax_number": "502-588-4801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "108 W Daisy Ln",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471504537",
            "country_code": "US",
            "telephone_number": "502-893-0159",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1725 Gagel Ave",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402162763",
            "country_code": "US",
            "telephone_number": "502-893-0159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JOHANNA",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-21",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3011519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300007363",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100487900",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.