Individual provider Active NPI

Kelly Anne Johnson, FNP-C

  • Nurse Practitioner
  • Jefferson Hills, PA
National Provider Identifier
1356710941
Registry record updated Jan 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP015399 Issued in PA
Practice address
565 Coal Valley Rd
Jefferson Hills, PA 15025-3703
Phone
(412) 578-7457
NPI assigned
Sep 24, 2015
Last updated
Jan 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP015399 PA
Nurse Practitioner 363L00000X SP015399 PA Primary

Addresses

Primary practice location

565 Coal Valley Rd
Jefferson Hills, PA 15025-3703

Mailing address

51 Paul Revere Rd
Oil City, PA 16301-2568
Phone (814) 676-4703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH, AK3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20151201002466 PA Practitioner - Nurse Practitioner 4486954112 Reassigns benefits to 5 organizations
I20251016003756 OH Practitioner - Nurse Practitioner 4486954112 Reassigns benefits to 5 organizations
I20251106002990 AK Practitioner - Nurse Practitioner 4486954112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Vitalcare Health Services PCGroup PAC ID 2264961861, 46 clinicians
Camai Community Health Center IncGroup PAC ID 3476690876, 12 clinicians
Ars Treatment Centers PCGroup PAC ID 0042568131, 107 clinicians

Practice addresses (Care Compare)

115 N Portland St
Chesterville, OH 43317-5006
Phone (844) 210-6186

2 School Rd
Naknek, AK 99633-0211
Phone (907) 246-6155

201 C Erie Place
Grove City, PA 16127-1659
Phone (800) 805-6989

220 S Main St
Suite a
Butler, PA 16001-0806
Phone (800) 805-6989

257 Georgetown Rd
Beaver Falls, PA 15010-9740
Phone (844) 210-6186

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP015399PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Skill Doc 101, LLC CurrentSince Aug 11, 2025 Accepting new patients
Allegheny Clinic Current Accepting new patients
Pai Participant 1 LLC Nurse Practitioner CurrentSince Sep 3, 2025 Accepting new patients
Allegheny Clinic CurrentSince May 29, 2024 Accepting new patients
Vitalcare Health Services PC Nurse Practitioner CurrentSince Nov 12, 2025 Accepting new patients
University of Pittsburgh Physicians CurrentSince Feb 16, 2016 Accepting new patients
Ars Treatment Centers, P.C. CurrentSince Jun 9, 2025 Accepting new patients
Pinnacle Care Providers, LLC Family CurrentSince Aug 11, 2025 Accepting new patients
University of Pittsburgh Physicians CurrentSince Feb 16, 2016 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Camai Community Health Center, Inc. CurrentSince Aug 9, 2025 Accepting new patients
Allegheny Clinic CurrentSince May 29, 2024 Accepting new patients
Ucmg LLC CurrentSince Jan 17, 2026 Accepting new patients
Ars Treatment Centers, P.C. CurrentSince Jun 9, 2025 Accepting new patients
Alaska Imaging Associates, LLC Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Klinic Medical PLLC Past Accepting new patients
Vitalcare Medical Services PA Nurse Practitioner PastSince Aug 25, 2025 Accepting new patients

Locations

236 3rd St SW
Canton, OH 44702
Phone (330) 754-4431

2821 Woodlawn Ave NW
Canton, OH 44708
Phone (330) 479-4800

230 Cherry St
Chillicothe, OH 45601
Phone (740) 773-6470

257 Georgetown Rd
Beaver Falls, PA 15010
Phone (724) 846-8200

220 S Main St
Ste A
Butler, PA 16001

464 Allegheny Blvd
Franklin, PA 16323
Phone (814) 432-9801

565 Coal Valley Rd
Fl 2
Jefferson Hills, PA 15025
Phone (412) 578-7457

565 Coal Valley Rd
Jefferson Hls, PA 15025
Phone (412) 469-5308

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

2317 E Westmoreland St
Philadelphia, PA 19134
Phone (215) 291-3115

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

300 Halket St
Ste 5200
Pittsburgh, PA 15213
Phone (412) 641-7850

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

100 Fairfield Dr
Seneca, PA 16346
Phone (814) 676-7600

3742 W 2150 N
Ste 150
Lehi, UT 84048
Phone (385) 205-6486

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20726/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kelly.johnson.1@20726.direct.athenahealth.com

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767398400000",
    "number": "1356710941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 PAUL REVERE RD",
            "city": "OIL CITY",
            "state": "PA",
            "postal_code": "163012568",
            "telephone_number": "814-676-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 COAL VALLEY RD",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253703",
            "telephone_number": "412-578-7457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KELLY",
        "middle_name": "ANNE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-24",
        "last_updated": "2026-01-03",
        "certification_date": "2026-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015399",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP015399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson Hills, PA

Sources for this page

Verify at the official NPI Registry.