Individual provider Active NPI

Kelsey Johnson, APRN

  • Family Nurse Practitioner
  • Lawrence, KS
National Provider Identifier
1407577745
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
81630 Issued in KS
Practice address
1112 W 6TH St Ste 215
Lawrence, KS 66044-2215
Phone
(785) 505-2250
Fax
(785) 505-5259
NPI assigned
Sep 6, 2022
Last updated
Oct 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 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 81630 KS Primary

Addresses

Primary practice location

1112 W 6TH St Ste 215
Lawrence, KS 66044-2215

Mailing address

325 Maine Street
Mso Library
Lawrence, KS 66044-1326
Phone (785) 505-2988

Other practice location 1

330 Arkansas St Ste 215
Lawrence, KS 66044-1326
Phone (785) 505-2250

Other identifiers 1

IdentifierTypeStateIssuer
30004904590001MedicaidKS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kelsey.johnson@direct.lmh.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20230321002351 KS Practitioner - Nurse Practitioner 7315311958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence Physicians LLCGroup PAC ID 1951623834, 223 clinicians

Practice addresses (Care Compare)

330 Arkansas St
Suite 215
Lawrence, KS 66044-1335
Phone (785) 505-2250

Hospital & facility affiliations

  • LMH Hospital, Lawrence, KS, CCN 170137

Merit-based Incentive Payment System (MIPS)

Final score
87.1 of 100Reported as group
Quality
79.76
Promoting interoperability
99
Improvement activities
40
Cost
78.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81630KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Physicians LLC CurrentSince Mar 29, 2023 Accepting new patients
Lawrence Physicians LLC Current Accepting new patients
Lawrence Physicians LLC CurrentSince Mar 29, 2023 Accepting new patients
The Internal Medicine Group PA Past Accepting new patients

Locations

1112 W 6th St
Ste 215
Lawrence, KS 66044
Phone (785) 505-2250

1130 W 4th St
Ste 2050
Lawrence, KS 66044
Phone (785) 505-3636

325 Maine St
Lawrence, KS 66044
Phone (785) 505-2988

330 Arkansas St
Ste 215
Lawrence, KS 66044
Phone (785) 505-2250

Interoperability endpoints

  • Direct secure messaging: kelsey.johnson@direct.lmh.org

Organizations & group practices 4

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.

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": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1407577745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 MAINE STREET",
            "address_2": "MSO LIBRARY",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441326",
            "telephone_number": "785-505-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 W 6TH ST STE 215",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442215",
            "telephone_number": "785-505-2250",
            "fax_number": "785-505-5259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Arkansas St Ste 215",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660441326",
            "country_code": "US",
            "telephone_number": "785-505-2250",
            "fax_number": "785-505-5259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KELSEY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2024-10-03",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "81630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004904590001",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kelsey.johnson@direct.lmh.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "330 Arkansas St Ste 215",
            "city": "Lawrence",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660441326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.