Individual provider Active NPI

Paula A Johnson, APRN

  • Pediatric Nurse Practitioner
  • Evansville, IN
National Provider Identifier
1609841527
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
71003626A Issued in IN
Practice address
3900 Washington Ave # 100
Evansville, IN 47714-0550
Phone
(812) 485-6694
NPI assigned
Feb 22, 2006
Last updated
Nov 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2526P KY
Pediatric Nurse Practitioner 363LP0200X 71003626A IN Primary

Addresses

Primary practice location

3900 Washington Ave # 100
Evansville, IN 47714-0550

Mailing address

3900 Washington Ave # 100
Evansville, IN 47714-0550

Other practice location 1

720 2nd Ave Ste 102
Bowling Green, KY 42101-1778
Phone (502) 588-3650

Other identifiers 1

IdentifierTypeStateIssuer
7100044250MedicaidKY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address pjohnson40972@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/

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
I20061025000705 KY Practitioner - Nurse Practitioner 7113924622 Reassigns benefits to 1 organization
I20151013001334 IN Practitioner - Nurse Practitioner 7113924622 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norton Childrens Medical Group LLCGroup PAC ID 3779917596, shared by 2 NPIs, 234 clinicians

Practice addresses (Care Compare)

3900 Washington Ave
Suite 100
Evansville, IN 47714-0550
Phone (502) 588-3650

411 E Chestnut St
Louisville, KY 40202-1713

601 S Floyd St
Suite 604
Louisville, KY 40202-1874
Phone (502) 559-1670

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2526PKYMDNurse Practitioner
71003626AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Pediatric Subspecialties Nurse Practitioner Current Accepting new patients
Norton Children's Medical Group, LLC Nurse Practitioner CurrentSince Mar 1, 2020 Accepting new patients
Norton Childrens Medical Group, LLC Nurse Practitioner Current Accepting new patients
Norton Children's Medical Group, LLC Nurse Practitioner Current Accepting new patients
Norton Children's Medical Group, LLC Nurse Practitioner CurrentSince Mar 1, 2020 Accepting new patients
University of Louisville Physicians, Inc. Past Accepting new patients
Commission for Children With Special Health Car Past Accepting new patients

Locations

2051 Clevidence Blvd
Ste B
Clarksville, IN 47129
Phone (502) 629-2030

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

3900 Washington Ave
Evansville, IN 47714
Phone (812) 485-7425

3900 Washington Ave
#100
Evansville, IN 47714
Phone (317) 871-0000

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

250 W 96th St
#520
Indianapolis, IN 46260
Phone (317) 583-3331

720 2nd Ave
Ste 102
Bowling Green, KY 42101
Phone (502) 583-1697

231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500

310 Whittington Pkwy
Ste 200
Louisville, KY 40222
Phone (502) 429-1249

411 E Chestnut St
#6
Louisville, KY 40202
Phone (502) 588-9587

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

Interoperability endpoints

  • Direct secure messaging: paula.johnson.3@7598.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1609841527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 WASHINGTON AVE # 100",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 WASHINGTON AVE # 100",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140550",
            "telephone_number": "812-485-6694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 2nd Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421011778",
            "country_code": "US",
            "telephone_number": "502-588-3650",
            "fax_number": "502-588-7852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PAULA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "2526P",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IN",
            "license": "71003626A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100044250",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pjohnson40972@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "720 2nd Ave Ste 102",
            "city": "Bowling Green",
            "state": "KY",
            "country_code": "US",
            "postal_code": "421011778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "720 2nd Ave Ste 102",
            "city": "Bowling Green",
            "state": "KY",
            "country_code": "US",
            "postal_code": "421011778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.