Individual provider Active NPI

Christine Annmarie Johnson, AGNP, APRN-CP

  • Adult Health Nurse Practitioner
  • McAlester, OK
National Provider Identifier
1619684719
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
220278 Issued in OK
Practice address
10 S 3Rd St
McAlester, OK 74501-5346
Phone
(918) 421-6795
NPI assigned
Oct 31, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R0136354 OK
Adult Health Nurse Practitioner 363LA2200X 220278 OK Primary

Addresses

Primary practice location

10 S 3Rd St
McAlester, OK 74501-5346

Mailing address

10 S 3Rd St
McAlester, OK 74501-5346
Phone (918) 421-6795

Other practice location 1

1 E Clark Bass Blvd
McAlester, OK 74501-4209
Phone (580) 236-9947

Other names 1

  • Mrs. Christine Annmarie Johnson Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20241119002752 OK Practitioner - Nurse Practitioner 3971038555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McAlester Medical Services LLCGroup PAC ID 9931139029, 21 clinicians

Practice addresses (Care Compare)

10 S 3Rd St
McAlester Med SVCS Fam Med
McAlester, OK 74501-5346
Phone (918) 421-6795

Hospital & facility affiliations

  • Southeast Hospice Hospice, McAlester, OK, CCN 371717
  • McAlester Regional Health Center Hospital, McAlester, OK, CCN 370034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0136354OKMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
McAlester Medical Services, LLC CurrentSince Oct 1, 2024 Accepting new patients
Eagle Partners, PLLC Past Accepting new patients
McAlester Regional Health Center Authority Past Accepting new patients

Locations

111 W Forrest Ave
Ste B
Eufaula, OK 74432
Phone (918) 490-7011

4 E Clark Bass Blvd
McAlester, OK 74501
Phone (918) 421-6700

10 S 3rd St
McAlester, OK 74501
Phone (918) 382-3178

1 E Clark Bass Blvd
McAlester, OK 74501
Phone (918) 421-6941

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 2

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": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1619684719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 S 3RD ST",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745015346",
            "telephone_number": "918-421-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 S 3RD ST",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745015346",
            "telephone_number": "918-421-6795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 E Clark Bass Blvd",
            "address_purpose": "LOCATION",
            "city": "McAlester",
            "state": "OK",
            "postal_code": "745014209",
            "country_code": "US",
            "telephone_number": "580-236-9947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHRISTINE",
        "middle_name": "ANNMARIE",
        "name_prefix": "Ms.",
        "credential": "AGNP, APRN-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "R0136354",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OK",
            "license": "220278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "JOHNSON",
            "middle_name": "ANNMARIE",
            "prefix": "MRS.",
            "credential": "AGNP, APRN-CP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in McAlester, OK

Sources for this page

Verify at the official NPI Registry.