Johnathan Fowler, APRN

Individual provider Active NPI Nurse Practitioner · Whitesburg, KY

NPI 1366933467 · NPPES record last updated Aug 13, 2026

Key facts

NPI
1366933467
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
3012257 (KY)
Practice address
214 Hospital Rd Ste a
Whitesburg, KY 41858-7627
Phone
(606) 633-2256
NPI assigned
May 23, 2018
Sex
Male
Sole proprietor
No

Organizations & group practices 5

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 5

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

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Appalachian Regional Healthcare Inc (301 clinicians)

Practice addresses (Care Compare)

9480 Hwy 805
Jenkins, KY 41537-8182
Phone (606) 832-2171

Hospital & facility affiliations

  • Whitesburg Arh HHA Home health agency · Whitesburg, KY · CCN 187014
  • Whitesburg Arh Hospital Hospital · Whitesburg, KY · CCN 180002

Merit-based Incentive Payment System (MIPS)

Final score
82.15 of 100 (apm)
Quality
47.14
Promoting interoperability
100
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20180727000535 KY Practitioner - Nurse Practitioner 8224385851 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Regional Healthcare, Inc. Current
since Jul 25, 2018
Accepting new patients
Appalachian Regional Healthcare, Inc Current
since Jul 25, 2018
Accepting new patients
Appalachian Regional Healthcare, Inc Nurse Practitioner Current Accepting new patients
Southern Medical Partners, LLC Nurse Practitioner Current
since Jul 1, 2021
Accepting new patients
Appalachian Regional Healthcare, Inc. Nurse Practitioner Past Accepting new patients

Locations

37 Ball Park Rd
Harlan, KY 40831
Phone (606) 263-3900

100 Airport Gardens Rd
Ste 311
Hazard, KY 41701
Phone (606) 439-6978

200 Medical Dr
Hazard, KY 41701
Phone (606) 439-5057

9480 Highway 805
Jenkins, KY 41537
Phone (606) 832-2171

214 Hospital Rd
Whitesburg, KY 41858
Phone (606) 633-3631

214 Hospital Rd
Ste A
Whitesburg, KY 41858
Phone (606) 633-2255

240 Hospital Rd
Whitesburg, KY 41858
Phone (606) 633-3500

Interoperability endpoints

  • Direct secure messaging: johnathanfowler@arh.medalliesdirect.net

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3012257 KY Yes

Addresses

Primary practice location

214 Hospital Rd Ste a
Whitesburg, KY 41858-7627

Mailing address

214 Hospital Rd Ste a
Whitesburg, KY 41858-7627
Phone (606) 633-2256

Other identifiers

IdentifierTypeStateIssuer
7100540110MedicaidKY

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address johnathanfowler@arh.medalliesdirect.net Direct

Other providers in Whitesburg, KY

All providers in Whitesburg, KY · Nurse Practitioner in Kentucky

Sources for this page

Verify at the official NPI Registry.