Individual provider Active NPI

Randy D Johns, CRNP

  • Family Nurse Practitioner
  • Butler, PA
National Provider Identifier
1669618377
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP008817 Issued in PA
Practice address
127 Oneida Valley Rd Ste 400
Butler, PA 16001-2251
Phone
(866) 620-6761
Fax
(724) 282-3043
NPI assigned
Dec 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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 SP008817 PA Primary

Addresses

Primary practice location

127 Oneida Valley Rd Ste 400
Butler, PA 16001-2251

Mailing address

127 Oneida Valley Rd Ste 400
Butler, PA 16001-2251
Phone (866) 620-6761

Other identifiers 1

IdentifierTypeStateIssuer
SP008817OtherPALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100519000866 PA Practitioner - Nurse Practitioner 0749319341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Butler Medical ProvidersGroup PAC ID 7416840160, 355 clinicians

Practice addresses (Care Compare)

1 Hospital Way
Butler, PA 16001-4670

1 Hospital Way 4
Butler Infectious Disease Services
Butler, PA 16001-4670
Phone (724) 284-4309

127 Oneida Valley Rd
Suite 400
Butler, PA 16001-2251
Phone (833) 995-0118

24 Doctors LN
Clarion, PA 16214-8574

One Hospital Way 4TH Floor
BHS Women'S Care Associates
Butler, PA 16001-4670
Phone (844) 765-2845

Hospital & facility affiliations

  • Independence Health System Butler Memorial Hospita Hospital, Butler, PA, CCN 390168

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP008817PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Medical Providers CurrentSince Mar 27, 2010 Accepting new patients
Butler Medical Providers Current Accepting new patients
Butler Medical Providers CurrentSince Mar 27, 2010 Accepting new patients
Butler Medical Providers Past Accepting new patients
Butler Medical Providers Past Accepting new patients

Locations

127 Oneida Valley Rd
Ste 400
Butler, PA 16001
Phone (724) 431-0550

330 N Point Dr
Ste 301
Clarion, PA 16214
Phone (814) 393-6052

24 Doctors Ln
Ste 201
Clarion, PA 16214
Phone (833) 684-1898

2001 Ehrman Rd
Ste 100
Cranberry Twp, PA 16066
Phone (724) 473-0660

235 State Route 288
Ellwood City, PA 16117
Phone (724) 752-3450

1 Park Way
Seneca, PA 16346
Phone (814) 676-5444

300 Northpointe Cir
Ste 104
Seven Fields, PA 16046
Phone (833) 391-0738

100 Northpointe Cir
Ste 103
Seven Fields, PA 16046
Phone (412) 357-8900

100 Innovation Dr
Ste 103
Slippery Rock, PA 16057
Phone (724) 738-0912

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1230595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1669618377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 ONEIDA VALLEY RD STE 400",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160012251",
            "telephone_number": "866-620-6761",
            "fax_number": "724-282-3043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 ONEIDA VALLEY RD STE 400",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160012251",
            "telephone_number": "866-620-6761",
            "fax_number": "724-282-3043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNS",
        "first_name": "RANDY",
        "middle_name": "D",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-30",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP008817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "SP008817",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.