Active NPI
Karissa Nicole Love Johnson, FNP-C
- Nurse Practitioner
- North Wilkesboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5023070
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5023070 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rowan Psychiatric and Medical Services PA | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.