NPIMap

Individual provider Active NPI

Kristine Johnson, MSN, RN, NP-C

  • Family Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1306388939
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
227977 Issued in AR
Practice address
200 River Market Ave Ste 100
Little Rock, AR 72201-1762
Phone
(501) 492-0099
Fax
(479) 968-1673
NPI assigned
Nov 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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 227977 AR Primary

Addresses

Primary practice location

200 River Market Ave Ste 100
Little Rock, AR 72201-1762

Mailing address

PO Box 9178
Russellville, AR 72811-9178
Phone (855) 498-6767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240415002072 AR Practitioner - Nurse Practitioner 8123309101 Reassigns benefits to 6 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
Venvisor Health of Ar PAGroup PAC ID 8022551647, 55 clinicians
SHC Medical Partners of Arkansas LLCGroup PAC ID 2668919812, 28 clinicians

Practice addresses (Care Compare)

1202 NE McClain Rd
BLDG 7
Bentonville, AR 72712-3875
Phone (203) 901-2493

200 River Market Ave
Suite 100
Little Rock, AR 72201-1762
Phone (501) 267-9870

Hospital & facility affiliations

  • White River Medical Center Hospital, Batesville, AR, CCN 040119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
227977ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Care Professionals, LLC CurrentSince Mar 25, 2024 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Jul 20, 2025 Accepting new patients
Icp Arkansas Aco Billing LLC CurrentSince Mar 25, 2024 Accepting new patients
Venvisor Health of Ar PA CurrentSince Sep 18, 2025 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Jul 20, 2025 Accepting new patients
SHC Medical Partners of Arkansas, LLC CurrentSince Jan 19, 2025 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Jul 20, 2025 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Jul 20, 2025 Accepting new patients

Locations

1202 NE McClain Rd
Bentonville, AR 72712
Phone (479) 278-4323

200 River Market Ave
Ste 500
Little Rock, AR 72201
Phone (501) 492-0099

200 River Market Ave
Ste 100
Little Rock, AR 72201
Phone (501) 267-9870

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

Interoperability endpoints

  • Direct secure messaging: kjohnson44530@direct.sw.org

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 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1306388939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9178",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728119178",
            "telephone_number": "855-498-6767",
            "fax_number": "479-968-1673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 RIVER MARKET AVE STE 100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722011762",
            "telephone_number": "501-492-0099",
            "fax_number": "479-968-1673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KRISTINE",
        "credential": "MSN, RN, NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-14",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "227977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.