Individual provider Active NPI

Sara Johnson, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1497519599
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4011430 Issued in KY
Practice address
828 Lane Allen Rd Ste 219
Lexington, KY 40504-3659
Phone
(260) 483-9081
NPI assigned
Feb 8, 2024
Last updated
Feb 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4011430 KY Primary

Addresses

Primary practice location

828 Lane Allen Rd Ste 219
Lexington, KY 40504-3659

Mailing address

1102 Winners Cir Apt 11
Louisville, KY 40242-7549
Phone (317) 498-3244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240322001196 KY Practitioner - Nurse Practitioner 0840637179 Reassigns benefits to 2 organizations
I20250418000790 IN Practitioner - Nurse Practitioner 0840637179 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eventus Ecs, IncGroup PAC ID 2163969650, 243 clinicians
Extended Care Specialists, IncGroup PAC ID 2466407713, 295 clinicians

Practice addresses (Care Compare)

150 W Market St
Suite 400
Indianapolis, IN 46204-2810
Phone (855) 743-2247

8398 Mississippi St
FL 2
Merrillville, IN 46410-6316
Phone (855) 743-2247

Hospital & facility affiliations

  • Caretenders Home health agency, Louisville, KY, CCN 187152

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4011430KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eventus Ecs, Inc CurrentSince Dec 13, 2024 Accepting new patients
Extended Care Specialists, Inc CurrentSince Mar 1, 2024 Accepting new patients
Eventus Wholehealth Midwest Inc CurrentSince Oct 1, 2024 Accepting new patients
Eventus Ecs - Kentucky, PLLC CurrentSince Sep 1, 2025 Accepting new patients
Eventus WH Midwest Care, LLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

2100 Midway St
Columbus, IN 47201
Phone 3178181240225

3512 Stellhorn Rd
Fort Wayne, IN 46815

150 W Market St
Ste 400
Indianapolis, IN 46204

3815 River Crossing Pkwy
Ste 100
Indianapolis, IN 46240
Phone (317) 218-3479

8398 Mississippi St
Fl 2
Merrillville, IN 46410

922 State St
Fl 4
Bowling Green, KY 42101

306 W Main St
Ste 512
Frankfort, KY 40601
Phone (860) 215-2295

828 Lane Allen Rd
Ste 219
Lexington, KY 40504

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, 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": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1497519599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 WINNERS CIR APT 11",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402427549",
            "telephone_number": "317-498-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 LANE ALLEN RD STE 219",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043659",
            "telephone_number": "260-483-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SARA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4011430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.