Individual provider Active NPI

Abby Johnson, FNP-C

  • Family Nurse Practitioner
  • Red Oak, IA
National Provider Identifier
1396500575
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A184359 Issued in IA
Practice address
1501 E Summit St
Red Oak, IA 51566-1706
Phone
(712) 621-5492
NPI assigned
Feb 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 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 A184359 IA Primary
Family Nurse Practitioner 363LF0000X 1106455 TX

Addresses

Primary practice location

1501 E Summit St
Red Oak, IA 51566-1706

Mailing address

1400 Senate Ave Ste 108
Red Oak, IA 51566-1271
Phone (712) 623-7250

Other practice location 1

1400 Senate Ave Ste 108
Red Oak, IA 51566-1271
Phone (712) 623-7250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20260528001349 IA Practitioner - Nurse Practitioner 4789025941 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Montgomery County Memorial HospitalGroup PAC ID 9032015805, shared by 7 NPIs, 43 clinicians

Practice addresses (Care Compare)

1400 Senate Ave
Red Oak, IA 51566-1271
Phone (712) 623-6335

Hospital & facility affiliations

  • Montgomery County Memorial Hospital Hospital, Red Oak, IA, CCN 161363

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A184359IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
FMC Medical Foundation, Inc. Family CurrentSince Jun 1, 2024 Accepting new patients

Locations

2329 Ross Osage St
Amarillo, TX 79103
Phone (806) 350-5790

911 23rd St
#0
Canyon, TX 79015

911 23rd St
Canyon, TX 79015
Phone (806) 353-6400

Interoperability endpoints

  • Direct secure messaging: abby.johnson.1@33715.direct.athenahealth.com

Organizations & group practices 3

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1396500575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 SENATE AVE STE 108",
            "city": "RED OAK",
            "state": "IA",
            "postal_code": "515661271",
            "telephone_number": "712-623-7250",
            "fax_number": "712-623-7257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E SUMMIT ST",
            "city": "RED OAK",
            "state": "IA",
            "postal_code": "515661706",
            "telephone_number": "712-621-5492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Senate Ave Ste 108",
            "address_purpose": "LOCATION",
            "city": "Red Oak",
            "state": "IA",
            "postal_code": "515661271",
            "country_code": "US",
            "telephone_number": "712-623-7250",
            "fax_number": "712-623-7257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ABBY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-16",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A184359",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1106455",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Oak, IA

Sources for this page

Verify at the official NPI Registry.