Individual provider Active NPI

Karissa Nicole Love Johnson, FNP-C

  • Nurse Practitioner
  • North Wilkesboro, NC
National Provider Identifier
1295523306
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5023070 Issued in NC
Practice address
401 10TH St Ste B
North Wilkesboro, NC 28659-4113
Phone
(336) 667-1140
NPI assigned
Apr 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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 5023070 NC Primary

Addresses

Primary practice location

401 10TH St Ste B
North Wilkesboro, NC 28659-4113

Mailing address

401 10TH St Ste B
North Wilkesboro, NC 28659-4113
Phone (336) 667-1140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20260116001769 NC Practitioner - Nurse Practitioner 1557848850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rowan Psychiatric and Medical Services PA 10 clinicians

Practice addresses (Care Compare)

1216 School St
Suite B
Wilkesboro, NC 28697-2634
Phone (336) 667-1140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5023070NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rowan Psychiatric and Medical Services PA CurrentSince Jan 6, 2026 Accepting new patients

Locations

611 Church St N
Concord, NC 28025
Phone (704) 637-1888

117 Fuchia Ln
Lincolnton, NC 28092
Phone (704) 520-3620

401 10th St
Ste B
North Wilkesboro, NC 28659
Phone (336) 667-1140

310 Statesville Blvd
Ste 1
Salisbury, NC 28144
Phone (704) 637-1888

1216 School St
Ste B
Wilkesboro, NC 28697
Phone (336) 667-1140

Organizations & group practices 1

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": "1745798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1295523306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 10TH ST STE B",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286594113",
            "telephone_number": "336-667-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 10TH ST STE B",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286594113",
            "telephone_number": "336-667-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KARISSA",
        "middle_name": "NICOLE LOVE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-28",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5023070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wilkesboro, NC

Sources for this page

Verify at the official NPI Registry.